ROBIN CECLIA BLACKWELL (CRNP) – Family Nurse Practitioner, NPI 1295276632

ROBIN CECLIA BLACKWELL (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-10087 (AL). The NPI Number for ROBIN CECLIA BLACKWELL (CRNP) is 1295276632

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ROBIN CECLIA BLACKWELL (CRNP)
NPI
1295276632
Phone
(334) 288-7808
Address
488 SAINT LUKES DR
Enumeration Date
18 March 2017
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507773668
Graduation Year
2016 (10 years ago)
PAC ID
6103193255
Group Practice PAC ID
2769616762
Professional Enrollment ID
I20250224002466
Address ID
FL325063228PE4850XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:9State licenses:5Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ROBIN CECLIA BLACKWELL (CRNP)

  • 488 SAINT LUKES DR

    MONTGOMERY, AL 361177104

    Phone: (334) 288-7808

    Fax: (334) 288-8089

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boston Scientific Corporation ($30).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210114000012INurse PractitionerALTBD
I20250224002466INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769616762View full group profile
NameSpecialtyState
Physician AssistantFL
Emergency MedicineGA
Nurse PractitionerFL
Family PracticeGA
Internal MedicineFL
Physician AssistantGA
-FL
-KY
Nurse PractitionerFL
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Is ROBIN CECLIA BLACKWELL (CRNP) listed with a National Provider Identifier?
Yes — ROBIN CECLIA BLACKWELL (CRNP) has NPI 1295276632 on file in the registry.
Active or inactive — what applies to ROBIN CECLIA BLACKWELL (CRNP)?
You should see ROBIN CECLIA BLACKWELL (CRNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for ROBIN CECLIA BLACKWELL (CRNP)?
At a glance, ROBIN CECLIA BLACKWELL (CRNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ROBIN CECLIA BLACKWELL (CRNP) located near Montgomery?
ROBIN CECLIA BLACKWELL (CRNP) currently maps to Montgomery, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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