REBEKAH ELIZABETH BLAIR (APRN, FNP-C) – Family Nurse Practitioner, NPI 1487396750

REBEKAH ELIZABETH BLAIR (APRN, FNP-C) is a healthcare provider. based in Jacksboro, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 0000256293 (TN). The NPI Number for REBEKAH ELIZABETH BLAIR (APRN, FNP-C) is 1487396750

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
REBEKAH ELIZABETH BLAIR (APRN, FNP-C)
NPI
1487396750
Phone
(865) 300-4156
Address
170 S Burress Ln
Enumeration Date
8 April 2022
Last Update Date
14 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656475676
Graduation Year
2022 (4 years ago)
PAC ID
6002261575
Group Practice PAC ID
3173795168
Professional Enrollment ID
I20231018003524
Address ID
TN377143155CA140XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for REBEKAH ELIZABETH BLAIR (APRN, FNP-C)

  • 170 S Burress Ln

    Jacksboro, TN 377574717

    Phone: (865) 300-4156

    Type: Location

  • 170 S BURRESS LN

    JACKSBORO, TN 377574717

    Phone: (865) 300-4156

    Type: Mailing

  • 2707 JACKSBORO PIKE STE 1A

    JACKSBORO, TN 377572752

    Phone: (423) 907-8186

    Fax: (423) 907-8187

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $646.

Total Amount is formed as General ($646) + Research ($0) + Ownership ($0) = $646.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($170).

Total Amount

$646

General + Research + Ownership

Payments

27

Total payment records

General Amount

$646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2023-10-18

PECOS data refreshed: 2026-06-15

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
I20231018003524INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37757)

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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: 3173795168View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Family PracticeTN
-TN
Family PracticeTN
Internal MedicinePA
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for REBEKAH ELIZABETH BLAIR (APRN, FNP-C)?
REBEKAH ELIZABETH BLAIR (APRN, FNP-C) — NPI 1487396750 — is the standard way to identify this listing.
Is REBEKAH ELIZABETH BLAIR (APRN, FNP-C) still practicing?
REBEKAH ELIZABETH BLAIR (APRN, FNP-C) is currently listed as active in the public NPI registry.
What healthcare role does REBEKAH ELIZABETH BLAIR (APRN, FNP-C) hold?
Scheduling teams often label REBEKAH ELIZABETH BLAIR (APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for REBEKAH ELIZABETH BLAIR (APRN, FNP-C)?
REBEKAH ELIZABETH BLAIR (APRN, FNP-C)'s geographic hint is Jacksboro, Tennessee in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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