CARRIE LYNN BLANCHETT (NP) – Nurse Practitioner, NPI 1063601599

CARRIE LYNN BLANCHETT (NP) is a healthcare provider. based in Ann arbor, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704210538 (MI). The NPI Number for CARRIE LYNN BLANCHETT (NP) is 1063601599

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE LYNN BLANCHETT (NP)
NPI
1063601599
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
22 October 2007
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
5175770000
Graduation Year
2007 (19 years ago)
PAC ID
5698856169
Group Practice PAC ID
5395896849
Professional Enrollment ID
I20080123000070
Address ID
MI492218318AD5640XHWYX400

Contacts

Secure Messaging
cblanchett95636@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:18State licenses:2Other names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for CARRIE LYNN BLANCHETT (NP)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • 718 N MACOMB ST

    MONROE, MI 481627815

    Phone: (734) 240-8943

    Fax: (734) 430-3116

    Type: Location

  • 333 N SUMMIT ST FL 7

    TOLEDO, OH 436041531

    Phone: (734) 240-8943

    Fax: (419) 824-7359

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    LEVEL 3

    ANN ARBOR, MI 481095856

    Phone: (888) 287-1082

    Type: Location

  • 1500 East Medical Center Dr

    Level 3

    Ann Arbor, MI 481095856

    Phone: (888) 287-1082

    Type: Location

  • 313 STEWART RD

    MONROE, MI 481624393

    Phone: (734) 535-8220

    Fax: (734) 535-8119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080123000070INurse PractitionerMITBD
I20240628000290INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4016$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395896849View full group profile
NameSpecialtyState
Nurse PractitionerCA
Hospitalist, Internal MedicineLA
Hospitalist, Internal MedicineOH
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal Medicine, Hospitalist, Internal MedicineWA
Hospitalist, Internal MedicineMI
Internal MedicineUT
Physician AssistantOH

Reviews

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Frequently asked questions

What is the registry number for CARRIE LYNN BLANCHETT (NP)?
The registry entry for CARRIE LYNN BLANCHETT (NP) shows NPI 1063601599.
Is CARRIE LYNN BLANCHETT (NP) currently accepting referrals based on NPI status?
Registry metadata lists CARRIE LYNN BLANCHETT (NP) as active.
What does the directory say CARRIE LYNN BLANCHETT (NP) does?
Insurance directories may phrase it differently, but here CARRIE LYNN BLANCHETT (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARRIE LYNN BLANCHETT (NP) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, CARRIE LYNN BLANCHETT (NP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.