NICHOLE MARIE BLACKBURN (FNP-C) – Family Nurse Practitioner, NPI 1154027829
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for NICHOLE MARIE BLACKBURN (FNP-C)
1315 N Washington St
Weatherford, OK 730962443
Phone: (580) 772-2344
Type: Location
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 731205039
Phone: (405) 749-9655
Fax: (405) 749-1001
Type: Mailing
522 N MAIN ST
ELK CITY, OK 736444241
Phone: (580) 243-2200
Fax: (580) 303-4712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $628.
Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($290).
Total Amount
$628
General + Research + Ownership
Payments
36
Total payment records
General Amount
$628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $290 |
| Corcept Therapeutics | $147 |
| GlaxoSmithKline, LLC. | $37 |
| AstraZeneca Pharmaceuticals LP | $32 |
| Edwards Lifesciences Corporation | $28 |
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: 2023-09-20
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 |
|---|---|---|---|---|
| I20230920003672 | I | Nurse Practitioner | OK | 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 73096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OK | |
| Nurse Practitioner | OK | |
| U R O L O G Y | KS | |
| U R O L O G Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| U R O L O G Y | OK | |
| Nurse Practitioner | OK |
Reviews
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