Individual provider Active NPI

Jill Blanchard

  • Family Medicine Physician
  • Merrillville, IN
National Provider Identifier
1619712304
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28155148A Issued in IN
Practice address
8777 Broadway
Merrillville, IN 46410-6693
Phone
(219) 738-5316
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28155148A IN Primary

Addresses

Primary practice location

8777 Broadway
Merrillville, IN 46410-6693

Mailing address

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-5316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240829004139 IN Practitioner - Nurse Practitioner 7810436169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

200 E 89TH Ave
Merrillville, IN 46410-7318
Phone (219) 738-5330

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28155148AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Aug 1, 2024 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Aug 1, 2024 Accepting new patients
The Methodist Hospitals, Inc. Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

8777 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 738-3550

Interoperability endpoints

  • Direct secure messaging: jblanchard180490@themethodisthospitals.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1619712304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106693",
            "telephone_number": "219-738-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106693",
            "telephone_number": "219-738-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "28155148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.