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Elizabeth Blauvelt

NPI 1104274190ActiveIndividual· Nurse Practitioner, Family· Bloomington, IN

Nurse Practitioner, Family in Bloomington, Indiana, trained at Indiana University School of Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $3,601 for 46 patients in 2024, with only 17 Part D claims.

Overview

NPI1104274190
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 31, 2016
Last updated in NPPESAug 29, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X71006436AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (IN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients46
Services billed47 across 5 procedure codes
Paid by Medicare$3,601

Part D prescriptions in 2024

Prescriptions (claims)17 · 17 30-day fills
Patients15
Total drug cost$313.04
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Medical schoolIndiana University School of Medicine
Graduation year2016
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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