Active NPI
Janice Reyburn Blann, NP
- Gerontology Nurse Practitioner
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5021894
- Practice address
- PO Box 3397
New Bern, NC 28564-3397 - Phone
- (276) 601-6197
- Fax
- (276) 601-6156
- NPI assigned
- Jul 23, 2019
- Last updated
- Apr 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 227742 | AZ | |
| Gerontology Nurse Practitioner | 363LG0600X | 5021894 | NC | Primary |
Addresses
Primary practice location
PO Box 3397
New Bern, NC 28564-3397
Mailing address
PO Box 3397
New Bern, NC 28564-3397
Phone (276) 601-6197
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227742 | Other | AZ | ARIZONA NURISNG BOARD |
| 561715 | Medicaid | AZ | |
| 5021894 | Other | NC | NP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227742 | AZ | MD | Acute Care Nurse Practitioner |
| 5021894 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current | Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current | Accepting new patients | |
| Signify Health, LLC | Past | Accepting new patients | |
| Your Health and Wellness PLLC | Past | Accepting new patients |
Locations
1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669
4635 N 14th St
Phoenix, AZ 85014
Phone (602) 264-9039
8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121
864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666
3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045
2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
Interoperability endpoints
- https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1669422846
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1790173680
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1992476543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1780237255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3397",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285643397",
"telephone_number": "276-601-6197",
"fax_number": "276-601-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 3397",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285643397",
"telephone_number": "276-601-6197",
"fax_number": "276-601-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANN",
"first_name": "JANICE",
"middle_name": "REYBURN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "227742",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5021894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA NURISNG BOARD",
"identifier": "227742",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561715",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP",
"identifier": "5021894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.