Individual provider Active NPI

Elizabeth Blanzy

  • Family Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1306580261
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329644NSA220MX Issued in MI
Practice address
8200 S Saginaw St Ste 500
Grand Blanc, MI 48439-2451
Phone
(810) 953-8700
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704329644 MI
Family Nurse Practitioner 363LF0000X 4704329644NSA220MX MI Primary

Addresses

Primary practice location

8200 S Saginaw St Ste 500
Grand Blanc, MI 48439-2451

Mailing address

8200 S Saginaw St Ste 500
Grand Blanc, MI 48439-2451
Phone (805) 459-8992

Other practice location 1

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8226

Other practice location 2

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

Other names 1

  • Elizabeth Mero Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230126001889 MI Practitioner - Nurse Practitioner 3971974171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rheumatology Group PCGroup PAC ID 5890783773, 3 clinicians

Practice addresses (Care Compare)

8200 S Saginaw St
Suite 500
Grand Blanc, MI 48439-2451
Phone (810) 953-8700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704329644MIMDCritical Care Medicine Registered Nurse
4704329644NSA220MXMIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Cancer and Blood Disease Treatment Center PC CurrentSince Jan 10, 2023 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Michigan Rheumatology Group PC CurrentSince Apr 26, 2024 Accepting new patients
Michigan Rheumatology Group PC CurrentSince Apr 26, 2024 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Feb 1, 2024 Accepting new patients

Locations

302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8058

8200 S Saginaw St
Ste 500
Grand Blanc, MI 48439
Phone (810) 953-8700

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1306580261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "805-459-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 500",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392451",
            "telephone_number": "810-953-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032044",
            "country_code": "US",
            "telephone_number": "810-762-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANZY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704329644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704329644NSA220MX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.