MS. MILDRED A BLANDAMER (FAMILY PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1932420239
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for MS. MILDRED A BLANDAMER (FAMILY PMHNP-BC)
8108 E NORMAN ST
BROKEN ARROW, OK 740147414
Phone: (918) 316-9353
Fax: (918) 517-2922
Type: Mailing
BRIGHTSIDE HEALTH TELEPSYCHIATRY
2261 MARKET STREET, SUITE 10222
SAN FRANCISCO, CA 94114
Phone: (918) 762-6604
Fax: (918) 762-6646
Type: Location
5750A SOUTHLAND DR
MOBILE, AL 366933316
Phone: (251) 662-7316
Type: Mailing
10 BEMISTON AVE
TALLADEGA, AL 351603290
Phone: (256) 362-8600
Type: Location
1201 HERITAGE CIR
PAWNEE, OK 740583744
Phone: (918) 762-6604
Fax: (918) 762-6646
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: 2024-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20240111000319 | I | Nurse Practitioner | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 20 | $0 |
Insurance plans in this area (ZIP 74014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Mental Health Counselor | RI | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | OK |
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