JENNIFER BLAYLOCK (NP) – Family Nurse Practitioner, NPI 1235457631
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER BLAYLOCK (NP)
3591 MCKINNEY ST STE 100
MELISSA, TX 754549572
Phone: (972) 837-1075
Fax: (972) 837-4120
Type: Mailing
1701 E College Ave
Bloomington, IL 617042101
Phone: (309) 664-3000
Fax: (309) 664-3026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $966.
Total Amount is formed as General ($966) + Research ($0) + Ownership ($0) = $966.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Lilly USA, LLC ($216).
Total Amount
$966
General + Research + Ownership
Payments
51
Total payment records
General Amount
$966
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $216 |
| Antares Pharma, Inc. | $98 |
| ABBVIE INC. | $94 |
| IDORSIA PHARMACEUTICALS US INC | $82 |
| PFIZER INC. | $66 |
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: 2016-10-21
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 |
|---|---|---|---|---|
| I20161021001145 | I | Nurse Practitioner | TX | 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 | 78 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 59 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 75454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Family Practice | TX | |
| Family Practice, Geriatric Medicine | TX | |
| - | GA | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| - | TX | |
| Family Practice | GA | |
| - | TX |
Reviews
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