OPHELIA I BLUE R.N., N.P., C.N.S.
NPI 1043466246
Nurse Practitioner in Seattle, WA
NPI Status: Active since August 07, 2008
Contact Information
4616 25TH AVE NE # 475
SEATTLE, WA
ZIP 98105
Phone: (206) 401-8411
Fax: (206) 480-0986
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About OPHELIA BLUE
This page provides the complete NPI Profile along with additional information for Ophelia Blue, a provider established in Seattle, Washington with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1043466246 assigned on August 2008. The practitioner's primary taxonomy code is 363L00000X with license number AP60321916 (WA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1043466246
- Provider Name
- OPHELIA I BLUE R.N., N.P., C.N.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4616 25TH AVE NE # 475 SEATTLE, WA 98105
- Location Phone
- (206) 401-8411
- Location Fax
- (206) 480-0986
- Mailing Address
- 4616 25TH AVE NE # 475 SEATTLE, WA 98105
- Mailing Phone
- (206) 401-8411
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-07-2008
- Last Update Date
- 03-09-2022
- Code Navigator
A nurse practitioner (NP) like Ophelia Blue is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ophelia Blue opted out of Medicare effective on 01-01-2019 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP60321916
- License State
- WA
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | RN60321915 (WA) |
| 2 | 163W00000X | Nursing Service Providers | Registered Nurse | RN732316 (PA) |
| 3 | 163W00000X | Nursing Service Providers | Registered Nurse | RN682919 (CA) |
| 4 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NPF18319 (CA) |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | SP023760 (PA) |
| 6 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | CNS3003 (CA) |
| 7 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | CNS000331 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ophelia Blue is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2019
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for OPHELIA I BLUE R.N., N.P., C.N.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 4 | 6 | 6 | 2 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 8 | 6 | 12 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 8 + 6 + 1 + 2 + 2 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1043466246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043466246, enumerated in the NPI registry as an "individual" on August 07, 2008
The provider is located at 4616 25th Ave Ne # 475 Seattle, Wa 98105 and the phone number is (206) 401-8411
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.43 with an average copayment of $24.35 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on January 01, 2019 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on August 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.