| Janice Reyburn Blann, NP | |
| 
					Po Box 3397, New Bern, NC 28564-3397  | |
| (276) 601-6197 | |
| (276) 601-6156 | 
| Full Name | Janice Reyburn Blann | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | Po Box 3397, New Bern, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780237255 | NPI | - | NPPES | 
| 227742 | Other | AZ | ARIZONA NURISNG BOARD | 
| 561715 | Medicaid | AZ | |
| 5021894 | Other | NC | NP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 5021894 (North Carolina) | Primary | 
| 363LA2100X | Nurse Practitioner - Acute Care | 227742 (Arizona) | Secondary | 
| Entity Name | Arizona Post-acute Medical Services 1 Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093254419 PECOS PAC ID: 4688951239 Enrollment ID: O20170508002340  | 
| Entity Name | Nm Pacs 2 Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200608000689  | 
| Entity Name | Cs Pacs 3 West Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073378238 PECOS PAC ID: 8921546797 Enrollment ID: O20241016003681  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Janice Reyburn Blann, NP Po Box 3397, New Bern, NC 28564-3397 Ph: (276) 601-6197  | Janice Reyburn Blann, NP Po Box 3397, New Bern, NC 28564-3397 Ph: (276) 601-6197  | 
Erin Hayba,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Neuse Blvd, New Bern, NC 28560 Phone: 252-633-8111  | |
Leonard Koyiet,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2604 Martin Luther King Jr Blvd, New Bern, NC 28562 Phone: 252-638-4023 Fax: 252-633-2833  | |
Crystal Toler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Medical Park Ave, New Bern, NC 28562 Phone: 252-638-2273  | |
Kaitlyn Carnwath,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Newman Rd, New Bern, NC 28562 Phone: 252-635-6777 Fax: 252-634-3183  | |
Hunter Pitt Wood, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2818 Neuse Blvd, New Bern, NC 28562 Phone: 252-636-4920  | |
Alexandra Kleczek, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1040 Medical Park Ave, New Bern, NC 28562 Phone: 252-633-1678  | |
Kelley J. Mathews, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2818 Neuse Blvd, New Bern, NC 28562 Phone: 252-636-4964 Fax: 252-636-4970  |