Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC in Tigard, OR

Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tigard, Oregon. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Robben R Gingery Md Llc and her current practice location is 11740 Sw 68th Pkwy Ste 200, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 352-6971.

Ms Mary Louise Blankenship is licensed to practice in Oregon (license number 10006006) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356358477.

Contact Information

	Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC
	11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058
	(971) 352-6971
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Mary Louise Blankenship
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	11740 Sw 68th Pkwy Ste 200, Tigard, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Mary Louise Blankenship graduated from nursing school in 2002

NPI Data:

NPI Number: 1356358477
Provider Enumeration Date: 08/02/2006
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1759270770
Enrollment ID: I20180504001349

Medical Identifiers

Medical identifiers for Ms Mary Louise Blankenship such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356358477	NPI	-	NPPES
3017279-01	Medicaid	TX
77056396	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023150476 (New Mexico)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	0375722 (New Mexico)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10006006 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Robben R Gingery Md Llc	0042514242	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Mary Louise Blankenship allows following entities to bill medicare on her behalf.

Entity Name	Ipc Hospitalists Of New Mexico, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578839163 PECOS PAC ID: 6800051509 Enrollment ID: O20120703000044

Entity Name	Robben R Gingery Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033527015 PECOS PAC ID: 0042514242 Enrollment ID: O20160209001273

Entity Name	New Mexico Specialty Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073047825 PECOS PAC ID: 0749558815 Enrollment ID: O20170613002452

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Louise Blankenship is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC 1907 Nw 6th St, Hermiston, OR 97838-1148 Ph: (972) 825-2575	Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC 11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058 Ph: (971) 352-6971

Reviews and Comments

Nurse Practitioner Nurses in Tigard, OR

Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856
Kecia Harris, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334
Kailey Windsor, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 503-603-9087 Fax: 503-603-9122
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756
Lindsey Campbell Gustafson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920
Martina D Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223 Phone: 877-448-3627
Dr. Gretchen Randolph, PH.D, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13635 Sw 115th Ave, Tigard, OR 97223 Phone: 503-968-1155

Ms Mary Louise Blankenship, RN, FNP, PMHNP-BC - Medicare Nurse Practitioner in Tigard, OR