Annie Blystone
NPI 1104617513 · Psychiatric/Mental Health Nurse Practitioner · Tamarac, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annie Blystone is a Psychiatric/Mental Health Nurse Practitioner provider in Tamarac, FL (NPI 1104617513).
Provider details
- NPI number
- 1104617513
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10001248 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1250 Sw Veterans Way Ste 120Redmond, OR 97756-2588Phone: (541) 383-3005Fax: (541) 383-1883
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Annie Blystone's NPI number?
- Annie Blystone's National Provider Identifier (NPI) is 1104617513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annie Blystone's specialty?
- Annie Blystone is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Annie Blystone located?
- Annie Blystone's practice location on file with NPPES is 7425 N University Dr, Tamarac, FL 33321-2901.
- What is Annie Blystone's phone number?
- The practice phone number listed in the NPPES registry for Annie Blystone is (954) 247-4627.
- Does Annie Blystone accept Medicare?
- Annie Blystone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annie Blystone's NPI active?
- Yes — Annie Blystone's NPI (1104617513) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.