Individual provider Active NPI

Victoria Blanchette, NP-C

  • Family Nurse Practitioner
  • Worthington, MN
National Provider Identifier
1629472964
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1014463 Issued in MN
Practice address
909 4TH Ave
Worthington, MN 56187-2365
Phone
(507) 804-1671
Fax
(507) 372-4214
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1014463 MN Primary

Addresses

Primary practice location

909 4TH Ave
Worthington, MN 56187-2365

Mailing address

909 4TH Ave
Worthington, MN 56187-2365
Phone (507) 804-1671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150121001306 MN Practitioner - Nurse Practitioner 9032433172 Reassigns benefits to 2 organizations
I20191017002947 SD Practitioner - Nurse Practitioner 9032433172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1014463MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Rural Health Care, Inc CurrentSince Aug 4, 2015 Accepting new patients
Avera McKennan CurrentSince Jul 20, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Rural Health Care, Inc CurrentSince Aug 4, 2015 Accepting new patients

Locations

300 S Bruce St
Ste 100
Marshall, MN 56258

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1417 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-8630

Interoperability endpoints

  • Direct secure messaging: victoria.blanchette@avera.sdhealthlink.net
  • Direct secure messaging: victoria.blanchette.1@29650.direct.athenahealth.com

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1629472964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 4TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872365",
            "telephone_number": "507-804-1671",
            "fax_number": "507-372-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 4TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872365",
            "telephone_number": "507-804-1671",
            "fax_number": "507-372-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHETTE",
        "first_name": "VICTORIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F1014463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.