MARIA MAGDALENA BLALOCK (FNP) – Family Nurse Practitioner, NPI 1114813805

MARIA MAGDALENA BLALOCK (FNP) is a healthcare provider. based in Corrigan, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1044360 (TX). The NPI Number for MARIA MAGDALENA BLALOCK (FNP) is 1114813805

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARIA MAGDALENA BLALOCK (FNP)
NPI
1114813805
Phone
(972) 921-1558
Address
322 OAK CIR
Enumeration Date
17 June 2025
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366341620
Graduation Year
2025 (1 year ago)
PAC ID
7719490028
Group Practice PAC ID
9133213192
Professional Enrollment ID
I20250630004299
Address ID
TX759043302LU1105XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARIA MAGDALENA BLALOCK (FNP)

  • 322 OAK CIR

    CORRIGAN, TX 759393804

    Phone: (972) 921-1558

    Type: Mailing

  • 1105 W FRANK AVE STE 110

    LUFKIN, TX 759043302

    Phone: (936) 634-1620

    Fax: (936) 639-8972

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-30

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
I20250630004299INurse PractitionerTXTBD

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 75939)

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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: 9133213192View full group profile
NameSpecialtyState
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
-TX
Cardiovascular Disease (Cardiology)TX
Internal Medicine, Infectious DiseaseTX
Family PracticeTX
-TX
Pulmonary DiseaseMO
-TX
-TX

Reviews

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Frequently asked questions

What NPI should I save for MARIA MAGDALENA BLALOCK (FNP)?
Save NPI 1114813805 if you need a stable reference for MARIA MAGDALENA BLALOCK (FNP).
Is MARIA MAGDALENA BLALOCK (FNP) currently active in the NPI registry?
CMS-published data lists MARIA MAGDALENA BLALOCK (FNP) as an active registrant.
What field does MARIA MAGDALENA BLALOCK (FNP) work in?
You can think of MARIA MAGDALENA BLALOCK (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIA MAGDALENA BLALOCK (FNP)?
The page summarizes Corrigan, Texas for MARIA MAGDALENA BLALOCK (FNP); expand the address list for detail.
Is MARIA MAGDALENA BLALOCK (FNP) a real provider?
This page reflects official NPPES data for NPI 1114813805. Always confirm identity and privileges with the practice and licensing boards.

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