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BLAYNE BORDWINE
NPI 1023898616
Pediatrics - Hospice and Palliative Medicine in Oklahoma City, OK

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-4700 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Oct 2, 2023 (2 updates tracked since 2023).

About Blayne Bordwine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAYNE BORDWINE (NPI 1023898616) is an individual hospice and palliative medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (215424) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2023).

NPPES Registry Identity

NPI1023898616
Entity TypeIndividualMale
Primary Taxonomy2080H0002X
Provider Legal NameBLAYNE BORDWINE
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing Address12721 Nw 137th StPiedmont, OK 73078-8149
Phone(405) 271-4700
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2023
Enumeration DateOctober 2, 2023
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1023898616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080H0002X
License✔ Licensed in OK · 215424
Definition
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 215424 (OK)
1200 CHILDRENS AVE, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blayne Bordwine is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951759257
PECOS Enrollment IDI20231128000452
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRUTI SHAH
Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MRS. RACHEL LEIGH CROSS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4412
KAYLEE MARTIN
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5437
KRISTEN PUENTE RD, LD
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ROA MUQBEL
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. CLAIRE ELIZABETH KUNKEL SMITH DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
JAY OGLE DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. ERIN MICHELLE HAWKS PH.D.
Psychologist (Clinical)
1200 CHILDRENS AVE, SUITE 12400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blayne Bordwine's NPI number?

The NPI number for Blayne Bordwine is 1023898616. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Blayne Bordwine located?

Blayne Bordwine practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-4700.

What is Blayne Bordwine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.

Is Blayne Bordwine enrolled in Medicare?

Yes. Blayne Bordwine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blayne Bordwine accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Blayne Bordwine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blayne Bordwine was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.