JENNA BLACKWELL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336570324

JENNA BLACKWELL (PMHNP) is a healthcare provider. based in Wilmington, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. L8-0010409 (DE). The NPI Number for JENNA BLACKWELL (PMHNP) is 1336570324

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNA BLACKWELL (PMHNP)
NPI
1336570324
Phone
(302) 591-9179
Address
1812 Newport Gap Pike
Enumeration Date
2 December 2013
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3025919179
Graduation Year
2022 (4 years ago)
PAC ID
7315391570
Professional Enrollment ID
I20230922000062
Address ID
DE199669402MI230XXSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,274 NURSE PRACTITIONER in DE

Provider Addresses for JENNA BLACKWELL (PMHNP)

  • 1812 Newport Gap Pike

    Wilmington, DE 198086179

    Phone: (302) 591-9179

    Type: Location

  • 12046 Sunset Ln

    Greenwood, DE 199504867

    Phone: (302) 591-9179

    Type: Location

  • 217 CLIFTON AVE

    COLLINGDALE, PA 190233734

    Phone: (610) 696-5045

    Fax: (484) 540-8553

    Type: Mailing

  • 411 Kimmey St

    Georgetown, DE 199471259

    Phone: (302) 591-9179

    Type: Location

  • 305 N Union St Unit 1

    Wilmington, DE 198053454

    Phone: (302) 591-9179

    Type: Location

  • 230 MITCHELL ST STE B

    MILLSBORO, DE 199669402

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $629.

Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($200).

Total Amount

$629

General + Research + Ownership

Payments

10

Total payment records

General Amount

$629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2023-09-22

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
I20230922000062INurse PractitionerDETBD

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 19808)

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Reviews

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Frequently asked questions

Does JENNA BLACKWELL (PMHNP) have a public NPI I can cite?
Public records show JENNA BLACKWELL (PMHNP) under NPI 1336570324.
Should I treat JENNA BLACKWELL (PMHNP) as an active provider?
Patients and plans typically see JENNA BLACKWELL (PMHNP) as active in the national extract.
What type of care does JENNA BLACKWELL (PMHNP) provide?
JENNA BLACKWELL (PMHNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNA BLACKWELL (PMHNP)?
JENNA BLACKWELL (PMHNP) shows a connection to Wilmington, Delaware in registry-derived data.
Who maintains JENNA BLACKWELL (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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