DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265147847

DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) is a healthcare provider. based in Belton, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, PMHNP-BC. They hold a License No. 1106987 (TX). The NPI Number for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) is 1265147847

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC)
NPI
1265147847
Phone
(254) 613-9871
Address
3500 I-35
Enumeration Date
18 January 2023
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128199400
Graduation Year
2017 (9 years ago)
PAC ID
4385074251
Group Practice PAC ID
2365751468
Professional Enrollment ID
I20230524001468
Address ID
TX786267700GE700XXLOOP400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC)

  • 3500 I-35

    Belton, TX 76513

    Phone: (254) 613-9871

    Type: Location

  • 2206 E Central Texas Expy

    Killeen, TX 765435315

    Phone: (254) 519-4162

    Type: Location

  • 20501 ROLLING CREEK RD

    PFLUGERVILLE, TX 786606023

    Phone:

    Type: Mailing

  • 701 FM 685 STE 530

    PFLUGERVILLE, TX 786607105

    Phone: (737) 230-0237

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-29

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: 2023-05-24

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
I20230524001468INurse 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 76513)

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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: 2365751468View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
P S Y C H I A T R YTX
-TX
P S Y C H I A T R YAZ
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC)?
Save NPI 1265147847 if you need a stable reference for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC).
Does this profile mean DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) is currently active?
Yes — DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) appears active in the national provider directory.
Does DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC)?
The page summarizes Belton, Texas for DR. CAANAN BLAKEMORE (DNP, APRN, PMHNP-BC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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