MS. MARI CAITLYNE BLAYLOCK (FNP-C) – Family Nurse Practitioner, NPI 1962043406
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MS. MARI CAITLYNE BLAYLOCK (FNP-C)
182 W Main St
Nettleton, MS 388586075
Phone: (662) 963-5050
Fax: (662) 963-5051
Type: Location
12725 Highway 23 N
Tremont, MS 388768735
Phone: (662) 652-3361
Fax: (662) 652-3363
Type: Location
40201 Hamilton Rd
Hamilton, MS 397468648
Phone: (662) 343-9148
Fax: (662) 343-5811
Type: Location
60017 Highway 23
Smithville, MS 388709442
Phone: (662) 651-4280
Fax: (662) 651-4272
Type: Location
320 School Loop Dr
Tremont, MS 388768575
Phone: (662) 652-3322
Fax: (662) 652-3309
Type: Location
499 Gloster Creek Vlg Ste D1
Tupelo, MS 388014753
Phone: (662) 690-8007
Fax: (662) 842-4653
Type: Location
60286 Hatley Rd
Amory, MS 388217215
Phone: (662) 256-2233
Fax: (662) 256-2288
Type: Location
135 E Oxford St
Pontotoc, MS 388632111
Phone: (662) 489-3382
Fax: (662) 489-7242
Type: Location
179 Mullen Ave
Nettleton, MS 388586033
Phone: (662) 591-1815
Fax: (662) 963-1144
Type: Location
1523 S Pontotoc Rd
Pontotoc, MS 388639382
Phone: (662) 488-2960
Fax: (662) 489-8535
Type: Location
North Mississippi Medical Center, 830, South Gloster Street, Clark Place, Tupelo, Lee County, Mississippi, 38801, United States
TUPELO, MS 388014934
Phone: (662) 377-3270
Type: Mailing
60021 Monroe St
Smithville, MS 388707779
Phone: (662) 651-4637
Fax: (662) 651-4636
Type: Location
106 Walker St
Houlka, MS 388509453
Phone: (662) 568-3316
Fax: (662) 568-3360
Type: Location
8324 Highway 15 N
Ecru, MS 388419749
Phone: (662) 488-2950
Fax: (662) 489-8853
Type: Location
1506 HIGHWAY 278 E STE A
AMORY, MS 388215906
Phone: (662) 597-2019
Fax: (662) 597-2034
Type: Mailing
499 GLOSTER CREEK VLG STE D1
TUPELO, MS 388014753
Phone: (662) 690-8007
Fax: (662) 842-4653
Type: Location
60021 MONROE ST
SMITHVILLE, MS 388707779
Phone: (662) 651-4637
Fax: (662) 651-4635
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $280.
Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Lilly USA, LLC ($53).
Total Amount
$280
General + Research + Ownership
Payments
16
Total payment records
General Amount
$280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-04
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 |
|---|---|---|---|---|
| I20211004003397 | I | Nurse Practitioner | MS | 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 38858)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Clinical Social Worker | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS |
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