Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Blystone

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104617513

Annie Blystone is a Nurse Practitioner in Tamarac, Florida. Qualified in 2024, 2 years ago. Practices with Balanced Wellbeing LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
2
Licensed in
FL, OR
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

7425 N University Dr
Tamarac, FL 33321-2901
Phone: (954) 247-4627
Fax: (603) 461-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 — (541) 383-3005

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11039470 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10001248 (OR)

Record details

NPI number1104617513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2025
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing addressPo Box 4228, Portland, OR 97208-4228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tamarac