Jyssica Blantz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704320930 Issued in MI

Practice address

181 Emmett St W
Battle Creek, MI 49037-2963

Phone

(269) 830-3833

NPI assigned

Feb 22, 2023

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyssica.blantz.p1@direct.gracehealthmi.nextgenshare.com

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.

• Grace Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Battle Creek, MI
  • NPI 1518945278
  Medicare reassignment NPD
• Grace Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Battle Creek, MI
  • NPI 1942058458
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1205534930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-966-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-830-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTZ",
        "first_name": "JYSSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704320930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Susan Black, M.D.
• William R Blackburn, MD
• Tasia Blaesser, RDN
• Ian David Blair Jr.
• Zachariah Michael Blank, PHARMD
• Blessing Home Care, Inc.
• Blessings in Disguise LLC
• Jacquelyn Blizzard, LMSW
• William Dirk Bloem, PH.D.
• Benjamin Blomeke

• Family Nurse Practitioner in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.