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

Mrs. Beth Y Blankley, NP-BC

Individual provider Registered Nurse · NPI 1366191355

Mrs. Beth Y Blankley, NP-BC is a Nurse Practitioner in Washington, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
5
Licensed in
IL, MO
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

555 Washington Square Shopping Ctr
Washington, MO 63090-5343
Phone: (636) 390-1777
Fax: (636) 390-1778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 Jefferson Ave, Staunton, IL 62088-3039 — (618) 623-2914

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021051162 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2002013536 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 041337230 (IL)

Record details

NPI number1366191355
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorYes
NPI enumeratedMarch 18, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy East Ambulatory Services Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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