AUDRA BLOOD (CNP) – Registered Nurse, NPI 1992299036

AUDRA BLOOD (CNP) is a healthcare provider. based in Willoughby, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. RN.CNP.0027907 (OH). The NPI Number for AUDRA BLOOD (CNP) is 1992299036

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
AUDRA BLOOD (CNP)
NPI
1992299036
Phone
Not provided
Address
38882 MENTOR AVE
Enumeration Date
21 June 2018
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604890931
Graduation Year
2020 (6 years ago)
PAC ID
4385056274
Group Practice PAC ID
2365436847
Professional Enrollment ID
I20231127002129
Address ID
CT067904643TO469XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:7State licenses:4Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for AUDRA BLOOD (CNP)

  • Mentor Avenue, Willoughby, Lake County, Ohio, 44094, United States

    WILLOUGHBY, OH 440947875

    Phone:

    Type: Mailing

  • 4726, Main Avenue, Ashtabula, Ashtabula County, Ohio, 44004, United States

    ASHTABULA, OH 440046929

    Phone: (440) 953-9999

    Type: Location

  • 7232 JUSTIN WAY

    MENTOR, OH 440604881

    Phone: (440) 754-2078

    Type: Mailing

  • 7232 Justin Way

    Mentor, OH 440604881

    Phone: (440) 754-2078

    Type: Location

  • 16 HOSPITAL AVE

    DANBURY, CT 068105927

    Phone: (203) 778-2437

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($168).

Total Amount

$386

General + Research + Ownership

Payments

20

Total payment records

General Amount

$386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-11-27

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
I20201217002104INurse PractitionerOHTBD
I20231127002129INurse PractitionerCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44094)

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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: 2365436847View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerFL
Nurse PractitionerCT
Nurse PractitionerCT
-NY
P S Y C H I A T R YCT
-CT
-VT
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

How do I look up AUDRA BLOOD (CNP) by NPI?
Use NPI 1992299036 when you need to reference AUDRA BLOOD (CNP) in forms, claims, or directories.
Is AUDRA BLOOD (CNP) active in the national directory?
AUDRA BLOOD (CNP)'s public NPI profile is in an active state.
Can you summarize AUDRA BLOOD (CNP)'s specialty in plain language?
Clinically, the directory lists AUDRA BLOOD (CNP) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Does AUDRA BLOOD (CNP) practice in Ohio?
You will see Willoughby, Ohio on file for AUDRA BLOOD (CNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.