Eleanor Grace Bly, M.D., M.P.H.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60233140 Issued in WA

Practice address

23320 Highway 99
Edmonds, WA 98026-8744

Phone

(425) 640-5500

Fax

(425) 640-5520

NPI assigned

Apr 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Northwestern University Feinberg Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Snohomish CountyGroup PAC ID 0446152003, 84 clinicians

Swedish Health ServicesGroup PAC ID 4183522931, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eleanor.bly@309431641702404.direct.elationemr.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.

• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1730136367

  Family Medicine, WA

  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1720033145

  Family Medicine, WA

  Medicare reassignment Care Compare group NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1023830346
  Care Compare group NPD
• Seattle Roots Community Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1972623189

  WA

  Medicare reassignment
• Community Health Center of Snohomish County

  • Clinic Pharmacy
  • Lynnwood, WA
  • NPI 1003948738
  Care Compare group
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Lynnwood, WA
  • NPI 1013049741
  Care Compare group
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Lynnwood, WA
  • NPI 1073375572
  Care Compare group
• Community Health Center of Snohomish County

  • Clinic Pharmacy
  • Everett, WA
  • NPI 1124150859
  Care Compare group
• Community Health Center of Snohomish County

  • Clinic Pharmacy
  • Everett, WA
  • NPI 1356531990
  Care Compare group
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Edmonds, WA
  • NPI 1437438058
  Care Compare group
• Community Health Center of Snohomish County

  • Community Health Clinic/Center
  • Everett, WA
  • NPI 1437675188
  Care Compare group
• Community Health Center of Snohomish County

  • Clinic Pharmacy
  • Edmonds, WA
  • NPI 1447678875
  Care Compare group

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

• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214

  Hospital

  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265675508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23320 HIGHWAY 99",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268744",
            "telephone_number": "425-640-5500",
            "fax_number": "425-640-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23320 HIGHWAY 99",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268744",
            "telephone_number": "425-640-5500",
            "fax_number": "425-640-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLY",
        "first_name": "ELEANOR",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60095637",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60233140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON LICENSE",
            "identifier": "MD60233140",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020182",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8923057",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aryn Blase, LMP
• Blessed Inc.
• Bliss Fertility and Women'S Health PLLC
• Blue Mountain Medical Inc
• Bluestone Psychological Services, LLC
• Body Motion Physical Therapy PLLC
• Natalie-Pascale A Boisseau, L.AC, LMP
• Ljiljana L Bojic, D.P.T.
• Elijah Bolton
• Marina Viktorovna Bond, MD

• All providers in Edmonds, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• 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.