MR. GRANT MICHAEL BLAUVELT MSN FNP-BC NPI 1477122711

NPI Information

  • NPI: 1477122711
  • Provider Name: MR. GRANT MICHAEL BLAUVELT, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7900 W JEFFERSON BLVD STE 201
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 432-2297

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NPI Details

MR. Grant Michael Blauvelt, MSN, FNP-BC is a family nurse practitioner in Fort Wayne, IN with 4 years of experience. MR. Grant Michael Blauvelt, MSN, FNP-BC NPI is 1477122711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7900 W JEFFERSON BLVD STE 201
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 432-2297

The NPI 1477122711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
  • Hemoglobin a1c level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)

The enumeration date for this NPI number is 6/22/2021 and was last updated on 12/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71011228AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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