HEIDI LEE BLAIR (ARNP) – Family Nurse Practitioner, NPI 1003225525

HEIDI LEE BLAIR (ARNP) is a healthcare provider. based in Corvallis, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A125704 (IA). The NPI Number for HEIDI LEE BLAIR (ARNP) is 1003225525

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI LEE BLAIR (ARNP)
NPI
1003225525
Phone
Not provided
Address
PO BOX 1193
Enumeration Date
8 August 2014
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6709006315
Group Practice PAC ID
2769391523
Professional Enrollment ID
I20160302001000
Address ID
OR973554361LE425XXHWYX400

Contacts

Secure Messaging
hgrimes126938@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

Provider Addresses for HEIDI LEE BLAIR (ARNP)

  • PO BOX 1193

    CORVALLIS, OR 973391193

    Phone:

    Type: Mailing

  • 425 N SANTIAM HWY

    LEBANON, OR 973554361

    Phone: (541) 451-6960

    Type: Location

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: 2016-03-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302001000INurse PractitionerORTBD

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 97339)

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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: 2769391523View full group profile
NameSpecialtyState
Physician AssistantOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Hospitalist, Internal MedicineOR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR
P O D I A T R YOR
Family PracticeOR

Reviews

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Frequently asked questions

Can I cross-check HEIDI LEE BLAIR (ARNP) using NPI 1003225525?
NPI 1003225525 belongs to HEIDI LEE BLAIR (ARNP); compare other details if you need extra assurance.
Is HEIDI LEE BLAIR (ARNP) still an active registrant?
HEIDI LEE BLAIR (ARNP) carries an active NPI according to the public dataset.
What expertise is attributed to HEIDI LEE BLAIR (ARNP)?
HEIDI LEE BLAIR (ARNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is HEIDI LEE BLAIR (ARNP) located near Corvallis?
HEIDI LEE BLAIR (ARNP) currently maps to Corvallis, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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