MS. DENISE P BLACKBURN APRN, FNP-BC
NPI 1043568280
Nurse Practitioner - Family in Fenton, MO

Active since August 20, 2012PECOS EnrolledAccepts Medicare Assignment
1011 BOWLES AVE, SUITE G10, FENTON, MO 63026(314) 965-9980(314) 965-1127 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Denise P Blackburn Aprn, Fnp-bc NPPES

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

MS. DENISE P BLACKBURN APRN, FNP-BC (NPI 1043568280) is an individual family provider in Fenton, Missouri, licensed in Missouri (2012021023) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043568280
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DENISE P BLACKBURNCredential: APRN, FNP-BC
Location Address1011 BOWLES AVE, SUITE G10Fenton, MO 63026-2395
Mailing Address2124 Martina DrWashington, MO 63090-5213 · (636) 259-0207
Fax(314) 965-1127
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 20, 2012
NPI 1043568280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2012021023
Also ListedRegistered NurseTaxonomy 163W00000X · License 125820 (MO)
1011 BOWLES AVE, Fenton, MO 63026

Accepted 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

Ms. Denise P Blackburn Aprn, Fnp-bc 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 ID5496906901
PECOS Enrollment IDI20121109000400
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
1011 BOWLES AVE, SUITE 215
FENTON, MO 63026
Durable Medical Equipment & Medical Supplies
1011 BOWLES AVE, SUITE 123
FENTON, MO 63026
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
Internal Medicine
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
Nurse Practitioner (Family)
1011 BOWLES AVE
FENTON, MO 63026
Orthopaedic Surgery
1011 BOWLES AVE, SUITE 400
FENTON, MO 63026
Nurse Practitioner (Women's Health)
1011 BOWLES AVE
FENTON, MO 63026
Physical Therapist
1011 BOWLES AVE, SUITE 150
FENTON, MO 63026

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 Denise Blackburn's NPI number?

The NPI number for Denise Blackburn is 1043568280. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Denise Blackburn located?

Denise Blackburn practices at 1011 Bowles Ave Suite G10, Fenton, MO 63026. The listed phone number is (314) 965-9980.

What is Denise Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denise Blackburn enrolled in Medicare?

Yes. Denise Blackburn 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 Denise Blackburn accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Denise Blackburn 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 Denise Blackburn was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.