JOANNAH BLUNTACH (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1902293855
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JOANNAH BLUNTACH (PMHNP-BC)
1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 379-1718
Fax: (651) 379-1738
Type: Mailing
332 W SUPERIOR ST STE 300
DULUTH, MN 558021844
Phone: (218) 722-4379
Type: Location
4135 RICHARD AVE STE 201
HERMANTOWN, MN 558112979
Phone: (612) 429-1011
Fax: (855) 631-0016
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-04-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150601002627 | I | Nurse Practitioner | MN | TBD |
| I20250422003262 | I | Nurse Practitioner | HI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | MN |
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