Individual provider Active NPI

Janice Reyburn Blann, NP

  • Gerontology Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1780237255
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5021894 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
227742OtherAZARIZONA NURISNG BOARD
561715MedicaidAZ
5021894OtherNCNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 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
I20190819000290 AZ Practitioner - Nurse Practitioner 2567790397 Reassigns benefits to 3 organizations
I20250522002926 NC Practitioner - Nurse Practitioner 2567790397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227742AZMDAcute Care Nurse Practitioner
5021894NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Aug 31, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jan 1, 2023 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Apr 21, 2025 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Apr 21, 2025 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Apr 21, 2025 Accepting new patients
Signify Health, LLC PastSince Feb 1, 2021 Accepting new patients
Your Health and Wellness PLLC PastSince Sep 28, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.