Elyse Anne Blackston, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024183 Issued in OH

Practice address

800 Wayne St Ste 100
Marietta, OH 45750-3309

Phone

(740) 568-2214

Fax

(740) 568-2099

NPI assigned

Mar 6, 2019

Last updated

Oct 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
• Selby General Hospital Hospital, Marietta, OH, CCN 361319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elyse.blackston@mmhs.medicity.net

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

• Marietta Memorial Hospital

  dba Department of Primary Care

  • Rural Health Clinic/Center
  • Woodsfield, OH
  • NPI 1962106328
  Medicare reassignment Care Compare group NPD
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Medicare reassignment NPD
• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  NPD
• Selby General Hospital

  dba Department of Primary Care Logan

  • Rural Health Clinic/Center
  • Logan, OH
  • NPI 1710840251
  NPD
• Selby General Hospital

  dba 300 E 8th St Rural Health Clinic

  • Rural Health Clinic/Center
  • Marietta, OH
  • NPI 1811796220
  NPD

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

• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Care Compare affiliation

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1083172324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WAYNE ST STE 100",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503309",
            "telephone_number": "740-568-2214",
            "fax_number": "740-568-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Farson St Ste 204C",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141069",
            "country_code": "US",
            "telephone_number": "740-568-2214",
            "fax_number": "740-568-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 State Route 664 N Unit A",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431389250",
            "country_code": "US",
            "telephone_number": "740-385-9646",
            "fax_number": "740-385-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Columbus Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011316",
            "country_code": "US",
            "telephone_number": "740-589-3044",
            "fax_number": "740-589-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKSTON",
        "first_name": "ELYSE",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.blackston@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "800 Wayne St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.blackston@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd Ste 202",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.blackston@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 204C",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.blackston@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "751 State Route 664 N Unit A",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431389250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.blackston@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd Ste 402",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenya Marie Billiter, RBT
• Eric Michael Binder, CRNA
• Kayla M Binegar, MPAS, PA-C
• Krishna Danae Black
• Miranda Black
• Matthew Blair, PA-S
• Keri Blake, LPN
• Malissa Elaine Bland, PTA
• Brandy Blatt
• Noah Blower, PHARMD

• Family Nurse Practitioner in Marietta, OH
• Providers in Marietta, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.