DONALD EDWARD BLACKBURN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174294227

DONALD EDWARD BLACKBURN (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3016712 (KY). The NPI Number for DONALD EDWARD BLACKBURN (APRN) is 1174294227

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DONALD EDWARD BLACKBURN (APRN)
NPI
1174294227
Phone
(502) 552-5512
Address
7818 PEAR VIEW LN
Enumeration Date
27 September 2021
Last Update Date
12 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705062730
Graduation Year
2021 (5 years ago)
PAC ID
8123426426
Group Practice PAC ID
0749406577
Professional Enrollment ID
I20211015002409
Address ID
KY427019454EL2000XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for DONALD EDWARD BLACKBURN (APRN)

  • 7818 PEAR VIEW LN

    LOUISVILLE, KY 402184761

    Phone: (502) 552-5512

    Type: Mailing

  • 2000 RING RD

    ELIZABETHTOWN, KY 427019454

    Phone: (270) 506-2730

    Fax: (270) 900-0704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 309 Open Payments records for all available years, with a total value of $4,960.

Total Amount is formed as General ($4,960) + Research ($0) + Ownership ($0) = $4,960.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,014).

Total Amount

$4,960

General + Research + Ownership

Payments

309

Total payment records

General Amount

$4,960

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-10-15

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
I20211015002409INurse PractitionerKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes51865$0
99213Established patient office or other outpatient visit, 20-29 minutes20543$0
90833Psychotherapy with evaluation and management visit, 30 minutes15439$0
90792Psychiatric diagnostic evaluation with medical services8169$0
99239Hospital discharge day management, more than 30 minutes5748$0
View full utilization report →

Insurance plans in this area (ZIP 40218)

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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: 0749406577View full group profile
NameSpecialtyState
Mental Health CounselorKY
Clinical Social WorkerKY
-KY
Nurse PractitionerKY
Mental Health CounselorKY
Nurse PractitionerOH
Clinical Social WorkerKY
Nurse PractitionerKY
-KY
-AR

Reviews

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Frequently asked questions

What federal number belongs to DONALD EDWARD BLACKBURN (APRN)?
The federal identifier for DONALD EDWARD BLACKBURN (APRN) is NPI 1174294227.
Is DONALD EDWARD BLACKBURN (APRN) active in the national directory?
DONALD EDWARD BLACKBURN (APRN)'s public NPI profile is in an active state.
What does DONALD EDWARD BLACKBURN (APRN) treat or focus on?
Patients typically see DONALD EDWARD BLACKBURN (APRN) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DONALD EDWARD BLACKBURN (APRN)?
The snapshot lists Louisville, Kentucky for DONALD EDWARD BLACKBURN (APRN); download NPPES for the complete set.
How can I contact DONALD EDWARD BLACKBURN (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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