CAROLYN ANN BLACKBURN (FNP-C) – Family Nurse Practitioner, NPI 1902336431
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for CAROLYN ANN BLACKBURN (FNP-C)
245 S WASHINGTON ST
CHILLICOTHE, MO 646013031
Phone: (660) 751-9006
Fax: (660) 258-9006
Type: Mailing
238, Southwest 30th Avenue, Grundy County, Missouri, 64683, United States
TRENTON, MO 646838427
Phone: (660) 635-0755
Type: Mailing
Main Street, Braymer, Caldwell County, Missouri, 64624, United States
BRAYMER, MO 646249325
Phone: (660) 645-2218
Fax: (660) 645-2820
Type: Location
2303 VILLAGE DR
SAINT JOSEPH, MO 645064954
Phone: (816) 307-4893
Fax: (816) 232-2991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $526.
Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($165).
Total Amount
$526
General + Research + Ownership
Payments
30
Total payment records
General Amount
$526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
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: 2017-10-16
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 |
|---|---|---|---|---|
| I20171016000251 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 20 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
| 81003 | Automated urinalysis test | 16 | 14 | $0 |
Insurance plans in this area (ZIP 64601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Nephrology, Internal Medicine, Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| P A T H O L O G Y | MO | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO |
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