Individual provider Active NPI

Erin Elizabeth Blanchard, PA-C

  • Physician Assistant
  • Jackson, MI
National Provider Identifier
1639504517
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006788 Issued in MI
Practice address
100 E Michigan Ave Ste 101
Jackson, MI 49201-1406
Phone
(157) 120-5776
Fax
(517) 205-7766
NPI assigned
Sep 10, 2013
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006788 MI Primary

Addresses

Primary practice location

100 E Michigan Ave Ste 101
Jackson, MI 49201-1406

Mailing address

100 E Michigan Ave Ste 101
Jackson, MI 49201-1406
Phone (571) 205-7766

Other identifiers 1

IdentifierTypeStateIssuer
0C00059OtherMIBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eblanchard517361@direct.hfhs.org

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
I20140527001013 MI Practitioner - Physician Assistant 8022231778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E Michigan Ave
Jackson, MI 49201-1406

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006788MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Care Express P.C. CurrentSince Jan 22, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Apr 1, 2018 Accepting new patients
Karen Lindower DO PLLC Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Apr 1, 2018 Accepting new patients
W a Foote Memorial Hospital Inc PastSince Apr 11, 2021 Accepting new patients

Locations

892 E Chicago St
Ste C
Coldwater, MI 49036
Phone (517) 278-2301

451 Hidden Meadows Dr
Ste 120
Hillsdale, MI 49242
Phone (517) 437-0010

100 E Michigan Ave
Ste 101
Jackson, MI 49201
Phone (517) 205-7766

2585 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 205-1285

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Hillsdale CountyHillsdale, MI, CCN 231552 Hospice Corporate Director (6.67%) Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1639504517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 101",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "571-205-7766",
            "fax_number": "517-205-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 101",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "157-120-5776",
            "fax_number": "517-205-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C00059",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eblanchard517361@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "100 E Michigan Ave Ste 101",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.