Active NPI 1104103613 Individual Practitioner Female Practitioner

Loretta Blanchard , NP

Nurse Practitioner • Port Orange, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Loretta Blanchard, NP is a certified Nurse Practitioner practicing in Port Orange, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Loretta Blanchard delivers high-quality medical care to the local community at 5821 S WILLIAMSON BLVD.

Loretta Blanchard is affiliated with Adventhealth Primary Care Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, established patient assisted living visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5821 S Williamson Blvd
Ste 204

Port Orange, FL 32128

Telephone 3862316300

Fax 3863226165

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Port Orange, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +2.4 yrs vs City Avg

City Avg: 12.6 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

21 Specialists

Practicing in Port Orange, FL (8990 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blanchard (15 Years) 15 Yrs

Port Orange Specialty Average (12.6 Years) 12.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	55	$159.40	$75.57
36415 Insertion of needle into vein for collection of blood sample	58	45	$15.00	$3.00
99335 Established patient assisted living visit, typically 25 minutes	45	32	$142.76	$81.86
99336 Established patient assisted living visit, typically 40 minutes	27	23	$202.44	$116.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$210.00	$111.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$220.50	$108.57
G0444 Annual depression screening, 5 to 15 minutes	16	16	$35.00	$15.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	105	$133.94	$62.21
36415 Insertion of needle into vein for collection of blood sample	143	85	$21.86	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$228.71	$95.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	60	$202.23	$89.79
G0008 Administration of influenza virus vaccine	40	40	$24.60	$16.05
90662 Influenza vaccine split virus, preservative free	32	32	$25.44	$24.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$73.50	$36.76
81003 Automated urinalysis test	18	14	$15.50	$2.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	301	154	$106.00	$61.05
36415 Insertion of needle into vein for collection of blood sample	161	103	$10.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$164.00	$95.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	58	$157.00	$89.59
G0008 Administration of influenza virus vaccine	33	32	$36.00	$15.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$63.00	$36.80
90662 Influenza vaccine split virus, preservative free	29	28	$69.31	$54.71
81003 Automated urinalysis test	15	13	$5.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	139	$106.00	$59.38
36415 Insertion of needle into vein for collection of blood sample	175	104	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	90	$157.00	$88.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$164.00	$94.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	37	$63.00	$35.61
G0008 Administration of influenza virus vaccine	39	39	$36.00	$19.30
90662 Influenza vaccine split virus, preservative free	27	27	$54.81	$50.59
81003 Automated urinalysis test	23	20	$5.00	$2.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$247.00	$140.32
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$29.00	$18.65
99495 Transitional care management services for problem of at least moderate complexity	12	12	$237.00	$133.92
69210 Removal of impacted ear wax	11	11	$73.00	$40.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	148	$106.00	$59.53
36415 Insertion of needle into vein for collection of blood sample	210	123	$8.69	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	78	$157.00	$87.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$164.00	$93.93
G0008 Administration of influenza virus vaccine	38	38	$36.00	$23.76
90662 Influenza vaccine split virus, preservative free	29	29	$50.00	$48.05
81003 Automated urinalysis test	22	17	$5.00	$3.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$247.00	$139.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$63.00	$35.25
G0009 Administration of pneumococcal vaccine	13	13	$36.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	11	11	$249.36	$184.66
90471 Administration of 1 vaccine	11	11	$36.00	$20.34

Medical Specialties & State Licenses

CMS Verified: 2026-04-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11011984

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH 12857-NP

Hospital & Practice Group Affiliations

Adventhealth Primary Care Network Inc

661 E Altamonte Dr, Altamonte Springs, FL 327015102

Phone: 4078314040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Yanelis Leyva , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1063766228

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Vartan Karakossian , MD

Family Medicine

NPI 1124280565

Doctor of Medicine (M.D.)

Dr. Carol Gaines , DO

Family Medicine

NPI 1235117102

Doctor of Osteopathic Medicine (D.O.)

Dr. Adam Pasternak , DO, CAQSM

Family Medicine

NPI 1295968311

Doctor of Osteopathic Medicine (D.O.), CAQSM

Elena Lushine , PA-C

Physician Assistant

NPI 1447873567

Physician Assistant (Certified)

Mikala Hughes

Nurse Practitioner

NPI 1467059790

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Business Mailing Address April 15, 2026

Registered at 5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 321286102 (Tel: 3862316300)

📍

Updated Practice Location March 25, 2026

Registered at 5821 S WILLIAMSON BLVD, STE 204, PORT ORANGE, FL 32128 (Tel: 3862316300)

📍

Updated Business Mailing Address March 25, 2026

Registered at 5821 S WILLIAMSON BLVD, STE 204, PORT ORANGE, FL 32128 (Tel: 3862316300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2026

Nurse Practitioner (License #APRN11011984 in FL)

📍

Updated Business Mailing Address June 02, 2023

Registered at 707 PLATINUM PT, LAKE MARY, FL 327465702 (Tel: 4078780910)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2023

Nurse Practitioner (License #12857-NP in OH)

📍

Updated Practice Location May 05, 2022

Registered at 707 PLATINUM PT, LAKE MARY, FL 327465702 (Tel: 4078780910)

📍

Updated Business Mailing Address May 05, 2022

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 4078780910)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2022

Nurse Practitioner (License #APRN11011984 in FL)

✅

NPI Profile Active November 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2011

Registered at 800 FOREST AVE, RM 4030, ZANESVILLE, OH 437012882 (Tel: 7404545398)

📍

Updated Business Mailing Address November 11, 2011

Registered at 945 BETHESDA DR, SUITE 200, ZANESVILLE, OH 437010801 (Tel: 7404506175)

👤

Provider Name / Credentials Updated November 11, 2011

Recorded as LORETTA BLANCHARD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2011

Nurse Practitioner (License #12857-NP in OH)

🟢

Initial NPI Registration & Enumeration November 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104103613

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 11, 2011

Last Update: April 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5821 S Williamson Blvd Ste 204

Port Orange, FL 321286102

Phone: 3862316300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.