Active NPI
Leisa Dawn Blanchard, FNP-C
- Family Nurse Practitioner
- Lockwood, MO
National Provider Identifier
1861693640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015034072
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359160504 | Medicaid | MO | |
| 1861693640 | Medicaid | MO |
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
Enrollment records 1
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 HospitalCBCH LLCCox Barton County Hospital
Practice addresses (Care Compare)
29 NW 1St LN
Lamar, MO 64759-8105
Hospital & facility affiliations
- Cox Barton County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.07 of 100
- Quality
- 45.41
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142484 | MO | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox Barton County Hospital | Current | Accepting new patients | |
| Cox Barton County Hospital | Current | 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
- lblanchard731966@directb.mercy.net
- 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.
-
- Emergency Medicine Physician
- Lamar, MO
- NPI 1174166177
-
- Medicare Defined Swing Bed Hospital Unit
- Lamar, MO
- NPI 1568097897
-
- General Practice Physician
- Golden City, MO
- NPI 1144557620
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lamar, MO
- NPI 1922514629
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.