JESSICA BLACKFORD (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1346624319

JESSICA BLACKFORD (DNP, FNP-BC) is a healthcare provider. based in Hudson, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. R-184602-7 (MN). The NPI Number for JESSICA BLACKFORD (DNP, FNP-BC) is 1346624319

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA BLACKFORD (DNP, FNP-BC)
NPI
1346624319
Phone
(715) 531-6800
Address
403 STAGELINE RD
Enumeration Date
19 July 2015
Last Update Date
5 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7155316800
Graduation Year
2015 (11 years ago)
PAC ID
4981918869
Group Practice PAC ID
2668607557
Professional Enrollment ID
I20160420000788
Address ID
WI540023264BA840XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for JESSICA BLACKFORD (DNP, FNP-BC)

  • 403 STAGELINE RD

    HUDSON, WI 540167848

    Phone: (715) 531-6800

    Fax: (715) 531-6801

    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 7 Open Payments records for all available years, with a total value of $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($709).

Total Amount

$709

General + Research + Ownership

Payments

7

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2016-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150805009281INurse PractitionerMNTBD
I20160420000788INurse PractitionerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes119103$0
99213Established patient office or other outpatient visit, 20-29 minutes10788$0
36415Insertion of needle into vein for collection of blood sample2714$0
View full utilization report →

Insurance plans in this area (ZIP 54016)

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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: 2668607557View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Sports MedicineWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Family PracticeWI
-WI
Family PracticeMN
Family PracticeWI
Pediatric MedicineWI
Physician AssistantMN
Family PracticeSC
Sports Medicine, Family PracticeWI

Reviews

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Frequently asked questions

What NPI should I save for JESSICA BLACKFORD (DNP, FNP-BC)?
Save NPI 1346624319 if you need a stable reference for JESSICA BLACKFORD (DNP, FNP-BC).
Is JESSICA BLACKFORD (DNP, FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JESSICA BLACKFORD (DNP, FNP-BC) work in?
You can think of JESSICA BLACKFORD (DNP, FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA BLACKFORD (DNP, FNP-BC)?
The page summarizes Hudson, Wisconsin for JESSICA BLACKFORD (DNP, FNP-BC); expand the address list for detail.
Is JESSICA BLACKFORD (DNP, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1346624319. Always confirm identity and privileges with the practice and licensing boards.

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