PATRICIA LOUISE BLACKLEDGE (ARNP MS) – Nurse Practitioner, NPI 1871586271
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PATRICIA LOUISE BLACKLEDGE (ARNP MS)
312, East Alta Vista Avenue, Ottumwa, Wapello County, Iowa, 52501, United States
OTTUMWA, IA 525011413
Phone: (641) 684-2722
Fax: (641) 684-3199
Type: Mailing
Ottumwa Regional Health Center, 1001, Pennsylvania Avenue, Ottumwa, Wapello County, Iowa, 52501, United States
OTTUMWA, IA 525016427
Phone: (641) 684-3053
Fax: (641) 683-2855
Type: Location
5950 University Ave Ste 105
West Des Moines, IA 502667756
Phone: (515) 875-9070
Fax: (515) 875-9071
Type: Location
PO BOX 458
OTTUMWA, IA 525010458
Phone: (641) 684-6896
Fax: (641) 226-5759
Type: Mailing
1015 N 18TH ST
CENTERVILLE, IA 525441170
Phone: (641) 684-6896
Fax: (641) 226-5759
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-06-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040621000377 | I | Nurse Practitioner | IA | TBD |
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.
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 52501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | IA | |
| Geriatric Medicine, Family Practice | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA |
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