MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) – Pediatric Nurse Practitioner, NPI 1164461273

MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) is a healthcare provider. based in Monson, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 200805 (MA). The NPI Number for MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) is 1164461273

Main info

Female
26 Years Of Experience
Name
MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)
NPI
1164461273
Phone
(413) 237-3232
Address
218 CEDAR SWAMP RD
Enumeration Date
5 June 2006
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137273901
Graduation Year
2000 (26 years ago)
PAC ID
7517145162
Group Practice PAC ID
2466755194
Professional Enrollment ID
I20110629000622
Address ID
MA010535339LE38XXXSTXX302

Contacts

Secure Messaging
Mercy.life.of.massachusetts@trinityhealth.ma.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)

  • 218, Cedar Swamp Road, Monson, Hampden County, Massachusetts, United States

    MONSON, MA 010579307

    Phone: (413) 237-3232

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $12,991.

Total Amount is formed as General ($12,991) + Research ($0) + Ownership ($0) = $12,991.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($12,991).

Total Amount

$12,991

General + Research + Ownership

Payments

46

Total payment records

General Amount

$12,991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sumitomo Pharma America, Inc.$12,991
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: 2017-10-06

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
I20110629000622INurse PractitionerMATBD
I20171006002206INurse PractitionerCTTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes507288$0
51798Ultrasound measurement of bladder capacity after voiding411192$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes160160$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12294$0
51725Simple measurement of pressure of urine flow in bladder9797$0
View full utilization report →

Insurance plans in this area (ZIP 01057)

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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: 2466755194View full group profile
NameSpecialtyState
-MA
Internal MedicineMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Internal Medicine, HospitalistMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA

Reviews

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Frequently asked questions

How do payers reference MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)?
For MRS. MELISSA ANN BLACKBURN-KIERKLA (NP), use NPI 1164461273 as the unique 10-digit identifier.
Would MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) appear as active to a payer?
You can treat MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)?
MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)'s record emphasizes Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) registered?
Use Monson, Massachusetts as the headline location for MRS. MELISSA ANN BLACKBURN-KIERKLA (NP) here.
Can I trust this NPI listing for MRS. MELISSA ANN BLACKBURN-KIERKLA (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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