Andrea G Blevins, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

005001746 Issued in NC

Practice address

3803 N Elm St
Greensboro, NC 27455-2593

Phone

(336) 549-9846

Fax

(877) 720-2076

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson O ElkinsGroup PAC ID 8921072380, 2 clinicians

Essential Geriatric Care PAGroup PAC ID 4789766510, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Essential Geriatric Care, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Hillsborough, NC
  • NPI 1912190281
  Medicare reassignment Care Compare group NPD
• Pleasant Garden Family Practice

  • Family Medicine Physician
  • Pleasant Garden, NC
  • NPI 1083754709
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1174601017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10046 OLD LIBERTY RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272988071",
            "telephone_number": "366-622-6000",
            "fax_number": "336-622-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552593",
            "telephone_number": "336-549-9846",
            "fax_number": "877-720-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "ANDREA",
        "middle_name": "G",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "005001746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER",
            "identifier": "005001746",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Blenman
• Blessed Alms II LLC
• Blessed Alms, Inc.
• Blessed New Beginnings, LLC
• Blessit Hair Co. LLC
• Cooper Mark Blevins
• Douglas Dane Blevins, MD
• Melinda Ann Blietz, MD
• Amber Paylor Bliss, MS, LCMHC
• Timothy Dwayne Blocker, CRNA

• Adult Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.