AMANDA BLACKMON
NPI 1083995518
Nurse Anesthetist, Certified Registered in Tupelo, MS
About Amanda Blackmon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA BLACKMON (NPI 1083995518) is an individual nurse anesthetist, certified registered in Tupelo, Mississippi, licensed in Mississippi (R898893) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Blackmon 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.
Medicare Billing Reassignments
3Medicare enrollment records show Amanda Blackmon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 91 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TUPELO, MS 38801
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 Amanda Blackmon's NPI number?
The NPI number for Amanda Blackmon is 1083995518. It was assigned to this individual provider in the NPPES registry on August 29, 2011.
Where is Amanda Blackmon located?
Amanda Blackmon practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-4394.
What is Amanda Blackmon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amanda Blackmon enrolled in Medicare?
Yes. Amanda Blackmon 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.
Which organizations bill Medicare for Amanda Blackmon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Blackmon reassigns Medicare benefits to 3 organizations: North Mississippi Medical Center (Tupelo, MS), Tupelo Anesthesia Group PA (Tupelo, MS) and Dhs Anesthesia, LLC (Tupelo, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Blackmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Blackmon accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Amanda Blackmon 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.
Is Amanda Blackmon affiliated with any hospitals?
According to CMS data, Amanda Blackmon is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Amanda Blackmon was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Amanda Blackmon · NPI 1083995518
Nurse Anesthetist, Certified Registered physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since August 29, 2011.
## Identity
- **NPI:** 1083995518 (Entity type: Individual)
- **Enumerated:** August 29, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R898893 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4934
- **Phone:** (662) 377-4394
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medical Center (NPI 1336328715, Tupelo, MS); Tupelo Anesthesia Group PA (NPI 1558390443, Tupelo, MS); Dhs Anesthesia, LLC (NPI 1184147431, Tupelo, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1083995518) · Data from the CMS NPPES public registry.