MRS. DENISE BLAIR WILBURN – Addiction Medicine (Family Medicine) Physician, NPI 1417984758

MRS. DENISE BLAIR WILBURN is a healthcare provider. based in Charlestown, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 3004516 (KY). The NPI Number for MRS. DENISE BLAIR WILBURN is 1417984758

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DENISE BLAIR WILBURN
NPI
1417984758
Phone
(812) 503-5100
Address
815 Short St
Enumeration Date
26 June 2006
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022449859
Graduation Year
2003 (23 years ago)
PAC ID
0941205439
Group Practice PAC ID
3971879354
Professional Enrollment ID
I20140814000105
Address ID
IN471306016JE1804XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. DENISE BLAIR WILBURN

  • 815 Short St

    Charlestown, IN 471111241

    Phone: (812) 503-5100

    Fax: (770) 573-9513

    Type: Location

  • 1804 E 10th St

    Jeffersonville, IN 471306016

    Phone: (812) 288-2488

    Fax: (770) 573-9513

    Type: Location

  • 101, Market Street, Town Commons, Charlestown, Cecil County, Maryland, 21914, United States

    CHARLESTOWN, IN 471119535

    Phone: (812) 503-5100

    Fax: (770) 573-9513

    Type: Mailing

  • 1802, East 10th Street, Jeffersonville, Clark County, Indiana, 47130, United States

    JEFFERSONVILLE, IN 471306016

    Phone: (812) 288-2488

    Fax: (770) 573-9513

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,472.

Total Amount is formed as General ($1,472) + Research ($0) + Ownership ($0) = $1,472.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($192).

Total Amount

$1,472

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2014-08-14

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
I20060915000089INurse PractitionerKYTBD
I20140814000105INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes24355$0
80307Testing for presence of drug, by chemistry analyzers8617$0
81003Automated urinalysis test8521$0
80061Blood test, lipids (cholesterol and triglycerides)6647$0
80053Blood test, comprehensive group of blood chemicals6644$0
View full utilization report →

Insurance plans in this area (ZIP 47111)

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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: 3971879354View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerKY
Certified Registered Nurse Anesthetist (Crna)KY
Psychiatry, NeurologyKY
-IN
Neurology, Neuropsychiatry, General Practice, NeurologyIN
P S Y C H I A T R YKY
Cardiovascular Disease (Cardiology), Internal MedicineIN
Physician AssistantIN
C H I R O P R A C T I CIN

Reviews

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Frequently asked questions

What number should I use to identify MRS. DENISE BLAIR WILBURN for billing?
Administrative and clinical systems typically use NPI 1417984758 for MRS. DENISE BLAIR WILBURN.
Quick check: is MRS. DENISE BLAIR WILBURN active?
Public NPPES data shows MRS. DENISE BLAIR WILBURN with an active NPI status right now.
What services align with MRS. DENISE BLAIR WILBURN's listing?
MRS. DENISE BLAIR WILBURN's public classification highlights Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. DENISE BLAIR WILBURN in Charlestown, Indiana?
For routing, start with Charlestown, Indiana for MRS. DENISE BLAIR WILBURN, then verify phone and hours locally.
Who maintains MRS. DENISE BLAIR WILBURN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.