Individual provider Active NPI

Leisa Dawn Blanchard, FNP-C

  • Family Nurse Practitioner
  • Lockwood, MO
National Provider Identifier
1861693640
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015034072 Issued in MO
Practice address
1307 S Main St
Lockwood, MO 65682-8327
Phone
(417) 232-4560
Fax
(417) 232-4611
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 142484 MO
Family Nurse Practitioner 363LF0000X 2015034072 MO Primary

Addresses

Primary practice location

1307 S Main St
Lockwood, MO 65682-8327

Mailing address

PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 829-4620

Other identifiers 2

IdentifierTypeStateIssuer
359160504MedicaidMO
1861693640MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20151006000574 MO Practitioner - Nurse Practitioner 5698901569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton County Memorial HospitalGroup PAC ID 2365333234, 19 clinicians
CBCH LLCGroup PAC ID 6406116797, 19 clinicians
Cox Barton County HospitalGroup PAC ID 8820329782, shared by 5 NPIs, 30 clinicians

Practice addresses (Care Compare)

29 NW 1St LN
Lamar, MO 64759-8105

Hospital & facility affiliations

  • Cox Barton County Hospital Hospital, Lamar, MO, CCN 261325

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142484MOMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital Current Accepting new patients
Cox Barton County Hospital CurrentSince May 16, 2023 Accepting new patients
Barton County Memorial Hospital Past Accepting new patients

Locations

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

403 N Main St
Salem, MO 65560
Phone (417) 537-4311

Interoperability endpoints

  • Direct secure messaging: lblanchard731966@directb.mercy.net
  • Direct secure messaging: lblan@yourcarecommunity.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1861693640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505164",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505164",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S MAIN ST",
            "city": "LOCKWOOD",
            "state": "MO",
            "postal_code": "656828327",
            "telephone_number": "417-232-4560",
            "fax_number": "417-232-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "LEISA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "142484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015034072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359160504",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861693640",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockwood, MO

Sources for this page

Verify at the official NPI Registry.