VICKIE LYNN BLEVINS (FNP) – Family Nurse Practitioner, NPI 1174184568

VICKIE LYNN BLEVINS (FNP) is a healthcare provider. based in Rocky comfort, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2019023368 (MO). The NPI Number for VICKIE LYNN BLEVINS (FNP) is 1174184568

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
VICKIE LYNN BLEVINS (FNP)
NPI
1174184568
Phone
(417) 355-3660
Address
1054 CLAY HOLLOW RD
Enumeration Date
26 June 2019
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4177826200
Graduation Year
2019 (7 years ago)
PAC ID
7911234992
Group Practice PAC ID
8123918257
Professional Enrollment ID
I20190814000897
Address ID
MO648013084JO530XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for VICKIE LYNN BLEVINS (FNP)

  • 1054 CLAY HOLLOW RD

    ROCKY COMFORT, MO 648617220

    Phone: (417) 355-3660

    Type: Mailing

  • 336, Jefferson Street, Thayer, Neosho County, Kansas, 66776, United States

    NEOSHO, MO 648501769

    Phone: (417) 455-4200

    Type: Location

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 1000 E HIGHWAY 60

    MONETT, MO 657088258

    Phone: (417) 354-1120

    Fax: (417) 354-1128

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

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: 2019-08-14

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
I20190814000897INurse PractitionerMOTBD

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 minutes4526$0
View full utilization report →

Insurance plans in this area (ZIP 64861)

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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: 8123918257View full group profile
NameSpecialtyState
-MO
Family Practice, HospitalistUT
Clinical Social WorkerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do payers reference VICKIE LYNN BLEVINS (FNP)?
For VICKIE LYNN BLEVINS (FNP), use NPI 1174184568 as the unique 10-digit identifier.
Is VICKIE LYNN BLEVINS (FNP) still an active registrant?
VICKIE LYNN BLEVINS (FNP) carries an active NPI according to the public dataset.
What kind of doctor is VICKIE LYNN BLEVINS (FNP)?
VICKIE LYNN BLEVINS (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is VICKIE LYNN BLEVINS (FNP) associated with Rocky Comfort?
Public fields place VICKIE LYNN BLEVINS (FNP) around Rocky Comfort, Missouri. Always confirm the exact site before visiting.
Does VICKIE LYNN BLEVINS (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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