MARY REBECCA BLANKENSHIP – Family Nurse Practitioner, NPI 1770004442

MARY REBECCA BLANKENSHIP is a healthcare provider. based in Talladega, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-101322 (AL). The NPI Number for MARY REBECCA BLANKENSHIP is 1770004442

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY REBECCA BLANKENSHIP
NPI
1770004442
Phone
(256) 649-8134
Address
837 BATTLE ST E
Enumeration Date
3 July 2017
Last Update Date
3 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2058383450
Graduation Year
2017 (9 years ago)
PAC ID
8527330778
Group Practice PAC ID
3971417825
Professional Enrollment ID
I20170822004140
Address ID
AL352353401BI50XXXEXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARY REBECCA BLANKENSHIP

  • 837 BATTLE ST E

    TALLADEGA, AL 351602670

    Phone: (256) 649-8134

    Type: Location

  • BioGX, 1500, 1st Avenue North, Fourth Avenue Historic District, Birmingham, Jefferson County, Alabama, 35222, United States

    BIRMINGHAM, AL 352031865

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: Lundbeck LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$13
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: 2017-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20170822004140INurse PractitionerALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5953$0
99285Emergency department visit with high level of medical decision making4233$0
99239Hospital discharge day management, more than 30 minutes1716$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 35160)

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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: 3971417825View full group profile

Reviews

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Frequently asked questions

What is the registry number for MARY REBECCA BLANKENSHIP?
The registry entry for MARY REBECCA BLANKENSHIP shows NPI 1770004442.
Is MARY REBECCA BLANKENSHIP's NPI status active today?
Active status means MARY REBECCA BLANKENSHIP's NPI record is not deactivated in the public file.
Which specialty label fits MARY REBECCA BLANKENSHIP?
NPPES ties MARY REBECCA BLANKENSHIP to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MARY REBECCA BLANKENSHIP tied to Talladega, Alabama?
If you are local to Talladega, Alabama, MARY REBECCA BLANKENSHIP may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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