Individual provider Active NPI

Blanche Euart Nichols Stutz, FNP

  • Family Nurse Practitioner
  • Ruckersville, VA
National Provider Identifier
1962973776
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
136326 Issued in MT
Practice address
140 Stoneridge Dr S Ste 100
Ruckersville, VA 22968-3096
Phone
(434) 654-1850
NPI assigned
Dec 6, 2018
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 136326 MT Primary

Addresses

Primary practice location

140 Stoneridge Dr S Ste 100
Ruckersville, VA 22968-3096

Mailing address

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL blanche.stutz.p1@direct.benefisbmg.nextgenshare.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, VA2 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
I20190327001833 MT Practitioner - Nurse Practitioner 2769722800 Reassigns benefits to 1 organization
I20230920002234 VA Practitioner - Nurse Practitioner 2769722800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Practice addresses (Care Compare)

140 Stoneridge Dr S
Ruckersville, VA 22968-3096
Phone (434) 654-1850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136326MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients
Harrisonburg Community Health Center Inc CurrentSince Jul 22, 2023 Accepting new patients
Harrisonburg Community Health Center CurrentSince Jul 22, 2023 Accepting new patients
Benefis Hospitals Inc CurrentSince Nov 28, 2018 Accepting new patients
Harrisonburg Community Health Center Family CurrentSince Jul 22, 2023 Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

800 Shenandoah Ave
#170
Elkton, VA 22827
Phone (540) 298-9900

1380 Little Sorrell Dr
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-4913

140 Stoneridge Dr S
Ruckersville, VA 22968
Phone (434) 654-1850

140 Stoneridge Dr S
Ste 100
Ruckersville, VA 22968
Phone (434) 654-1850

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1962973776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR S STE 100",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683096",
            "telephone_number": "434-654-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "BLANCHE",
        "middle_name": "EUART NICHOLS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "136326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blanche.stutz.p1@direct.benefisbmg.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "25 14th Ave NW",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594041954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ruckersville, VA

Sources for this page

Verify at the official NPI Registry.