Active NPI
Blair Nicole Pancheck, WHNP-BC
- Women's Health Nurse Practitioner
- Saginaw, MI
National Provider Identifier
1144572322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4704229884
- Practice address
- 1522 Janes Ave
Saginaw, MI 48601-1819 - Phone
- (989) 755-0316
- Fax
- (989) 755-0956
- NPI assigned
- Oct 11, 2012
- Last updated
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704229884 | MI | Primary |
Addresses
Primary practice location
1522 Janes Ave
Saginaw, MI 48601-1819
Mailing address
8693 E Prior Rd
Durand, MI 48429-9468
Phone (810) 287-7944
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | blair.pancheck@direct.medfusion.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pancheck LLC | Past | Accepting new patients |
Interoperability endpoints
- blair.pancheck@direct.medfusion.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1144572322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8693 E PRIOR RD",
"city": "DURAND",
"state": "MI",
"postal_code": "484299468",
"telephone_number": "810-287-7944",
"fax_number": "810-733-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 JANES AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486011819",
"telephone_number": "989-755-0316",
"fax_number": "989-755-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHECK",
"first_name": "BLAIR",
"middle_name": "NICOLE",
"credential": "WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704229884",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blair.pancheck@direct.medfusion.com",
"affiliation": "N",
"address_1": "1522 Janes Ave",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486011819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.