Individual provider Active NPI

Carrie Lynn Blanchett, NP

  • Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1063601599
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704210538 Issued in MI
Practice address
313 Stewart Rd
Monroe, MI 48162-4393
Phone
(734) 535-8220
Fax
(734) 535-8119
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704210538 MI
Nurse Practitioner 363L00000X 4704210538 MI Primary
Nurse Practitioner 363L00000X RN308980 OH

Addresses

Primary practice location

313 Stewart Rd
Monroe, MI 48162-4393

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-1531
Phone (734) 240-8943

Other practice location 1

1500 East Medical Center Dr
Level 3
Ann Arbor, MI 48109-5856
Phone (888) 287-1082

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cblanchett95636@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080123000070 MI Practitioner - Nurse Practitioner 5698856169 Reassigns benefits to 2 organizations
I20240628000290 TN Practitioner - Nurse Practitioner 5698856169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Inpatient Physicians-Michigan PLLCGroup PAC ID 5395896849, 168 clinicians

Practice addresses (Care Compare)

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0000

Hospital & facility affiliations

  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704210538MIMDNurse Practitioner
RN308980OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRMC Mso Sub 1, Incorporated Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 24, 2025 Accepting new patients
Mercy Memorial Hospital Corporatio CurrentSince Mar 1, 2021 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Mar 1, 2021 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Jan 24, 2025 Accepting new patients
Nicholas Boggs DO PLLC Past Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Locations

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

1236 S Monroe St
Monroe, MI 48161
Phone (734) 230-0301

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

228 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 372-0405

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Interoperability endpoints

  • Direct secure messaging: cblanchett1079623@direct.hfhs.org
  • Direct secure messaging: carrie.blanchett.1@30817.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1063601599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "734-240-8943",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-535-8220",
            "fax_number": "734-535-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Medical Center Dr",
            "address_2": "Level 3",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095856",
            "country_code": "US",
            "telephone_number": "888-287-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHETT",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704210538",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704210538",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN308980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cblanchett95636@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.