Active NPI
Victoria Blanchette, NP-C
- Family Nurse Practitioner
- Worthington, MN
National Provider Identifier
1629472964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1014463
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1014463 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | 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
- victoria.blanchette@avera.sdhealthlink.net
- 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.
-
- Federally Qualified Health Center (FQHC)
- Worthington, MN
- NPI 1215317375
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
- Pulmonary Disease Physician
- Sioux Falls, SD
- NPI 1386610004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.