JACQUELINE D. BLANTON (ACNP) – Acute Care Nurse Practitioner, NPI 1235300054
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
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Provider Addresses for JACQUELINE D. BLANTON (ACNP)
1801, North Washington Street, Homaway Village, Tullahoma, Coffee County, Tennessee, 37388, United States
STE. 300
TULLAHOMA, TN 373888245
Phone: (931) 393-4995
Fax: (931) 393-3573
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 12 Open Payments records for all available years, with a total value of $248.
Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($63).
Total Amount
$248
General + Research + Ownership
Payments
12
Total payment records
General Amount
$248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
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: 2008-05-05
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 |
|---|---|---|---|---|
| I20080505000436 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 230 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 154 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 56 | 35 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | 37 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 37388)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TN | 81002 | Urinalysis, manual test | 364 | 283 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | TN | |
| - | TN | |
| N E P H R O L O G Y | TN | |
| N E P H R O L O G Y | TN | |
| Nephrology, Internal Medicine | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| N E P H R O L O G Y | TN | |
| Nurse Practitioner | KY |
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