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NICHOLE MARIE BLACKBURN FNP-C
NPI 1154027829
Nurse Practitioner - Family in Elk City, OK

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
522 N MAIN ST, ELK CITY, OK 73644(580) 243-2200(580) 303-4712 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nichole Marie Blackburn Fnp-c NPPES

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

NICHOLE MARIE BLACKBURN FNP-C (NPI 1154027829) is an individual family provider in Elk City, Oklahoma, licensed in Oklahoma (211675) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Great Plains Regional Medical Center, and maintains a secondary practice location in Weatherford.

NPPES Registry Identity

NPI1154027829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE MARIE BLACKBURNCredential: FNP-C
Location Address522 N MAIN STElk City, OK 73644-4241
Mailing Address11000 Hefner Pointe DrOklahoma City, OK 73120-5039 · (405) 749-9655 · Fax (405) 749-1001
Phone(580) 243-2200
Fax(580) 303-4712
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2023
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1154027829 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 OK · 211675
522 N MAIN ST, Elk City, OK 73644
Open in Google Maps ↗

Secondary Practice Location 1

Location 11315 N Washington StWeatherford, OK 73096-2443 · Phone (580) 772-2344

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Nichole Marie Blackburn Fnp-c 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 ID244684587
PECOS Enrollment IDI20230920003672
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Great Plains Regional Medical Center

Acute Care Hospitals · Elk City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370019
Location1801 West 3rd StreetElk City, OK 73644 · Beckham County
Emergency services Birthing friendly

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Onecore Health

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370220
Location100 NE 85th StreetOklahoma City, OK 73114 · Oklahoma County
Emergency services

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371323
Location3701 E MainWeatherford, OK 73096 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73644 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Nichole Blackburn's NPI number?

The NPI number for Nichole Blackburn is 1154027829. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Nichole Blackburn located?

Nichole Blackburn practices at 522 N Main St, Elk City, OK 73644. The listed phone number is (580) 243-2200.

What is Nichole Blackburn's specialty?

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

Is Nichole Blackburn enrolled in Medicare?

Yes. Nichole 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 Nichole Blackburn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nichole 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.

Is Nichole Blackburn affiliated with any hospitals?

According to CMS data, Nichole Blackburn is affiliated with Great Plains Regional Medical Center, Jackson County Memorial Hospital Authority, Onecore Health and Weatherford Regional Hospital, Inc Of Weatherford.

When was this NPI record last updated?

The NPPES record for Nichole Blackburn was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.