Individual provider Active NPI

Blayne L Fritz, M.D.

  • Pediatrics Physician
  • Helena, MT
National Provider Identifier
1801862412
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7761 Issued in MT
Practice address
1035 Monroe Ave
Helena, MT 59601-2652
Phone
(406) 431-5781
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7761 MT Primary
Pediatrics Physician 208000000X 143824 AK

Addresses

Primary practice location

1035 Monroe Ave
Helena, MT 59601-2652

Mailing address

PO Box 1929
Helena, MT 59624-1929
Phone (406) 594-0880

Other practice location 1

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-4463

Other identifiers 1

IdentifierTypeStateIssuer
1801862412MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, ME, MN, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190626003686 AK Practitioner - Pediatric Medicine 0941534853
I20191231001036 ME Practitioner - Pediatric Medicine 0941534853 Reassigns benefits to 1 organization
I20250429001983 MN Practitioner - Pediatric Medicine 0941534853 Reassigns benefits to 3 organizations
I20251208003968 TX Practitioner - Pediatric Medicine 0941534853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3100 Channel Dr
Suite 300
Juneau, AK 99801-7814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7761MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Health Services Pediatrics CurrentSince Nov 6, 2019 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Apr 14, 2025 Accepting new patients
Lake Region Healthcare Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 17, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 17, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Pines Health Services CurrentSince Nov 6, 2019 Accepting new patients
Sidney Health Center Past Accepting new patients
Sidney Health Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 4
Caribou, ME 04736
Phone (207) 492-3451

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770

712 S Cascade St
Fergus Falls, MN 56537

Interoperability endpoints

  • Direct secure messaging: bfritz377062@direct.ochin.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations & group practices 12

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1801862412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1929",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241929",
            "telephone_number": "406-594-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MONROE AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012652",
            "telephone_number": "406-431-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-4463",
            "fax_number": "907-228-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "BLAYNE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "7761",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "143824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801862412",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.