IndividualActive

Carlos Blanchard, MSN, RN, AGPCNP

NPI 1689109415 · Primary Care Nurse Practitioner · Marion, IN

Provider details

NPI number: 1689109415
Entity type: Individual
Primary specialty: Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: MSN, RN, AGPCNP
Sex: Male
Sole proprietor: Yes
License: 28183638A (IN)

Specialties & taxonomies

Primary Care Nurse PractitionerPrimary363LP2300XLicense 28183638A (IN)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
9 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
506 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. 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.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	288	$62
Hospital Discharge Day Management, More Than 30 Minutes99239	136	$91
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	32	$94
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222	27	$103
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	23	$137

Typical Medicare-allowed amounts for these services range $62–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

441 N Wabash Ave

Marion, IN 46952-2612

Phone: (765) 660-6800

Street-level locationGet directions

Mailing address