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EDNA ROCIO YOUNGBLOOD NP
NPI 1093555849
Nurse Practitioner - Family in Fort Worth, TX

Active since May 29, 2024PECOS Enrolled
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4095(682) 885-7499 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Nov 12, 2024 (2 updates tracked since 2024).

About Edna Rocio Youngblood Np NPPES

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

EDNA ROCIO YOUNGBLOOD NP (NPI 1093555849) is an individual family provider in Fort Worth, Texas, licensed in Texas (1171106) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093555849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDNA ROCIO YOUNGBLOODCredential: NP
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-4095
Fax(682) 885-7499
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 29, 2024
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1093555849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1171106
801 7TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edna Rocio Youngblood Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305313974
PECOS Enrollment IDI20260430004078
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

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 Edna Youngblood's NPI number?

The NPI number for Edna Youngblood is 1093555849. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Edna Youngblood located?

Edna Youngblood practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.

What is Edna Youngblood's specialty?

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

Is Edna Youngblood enrolled in Medicare?

Yes. Edna Youngblood is registered in the Medicare PECOS enrollment system.

What insurance does Edna Youngblood accept?

Health plans from Blue Cross and Blue Shield of Texas list Edna Youngblood 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 Edna Youngblood was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.