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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: October 25, 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 Blue Cross and Blue Shield of Oklahoma, Mending Health.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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nichole Blackburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bluth Family Medicine, LLC
41 mi
Family Medicine
1315 N WASHINGTON ST
Weatherford, OK 73096
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
NPI 1487883112 (580) 772-2344
Urology Associates, Inc.
103 mi
Urology
11000 HEFNER POINTE DR
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 15 clinicians in this Medicare group
NPI 1659313252 (405) 749-9655
Diabetic Centers For Excellence LLC
198 mi
Endocrinology, Diabetes & Metabolism
8640 S PEORIA AVE
Tulsa, OK 74132
  • Reassigned Medicare billing, Oklahoma enrollment
  • 5 clinicians in this Medicare group
NPI 1043993546 (213) 840-1161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

Cordell Memorial Hospital

Critical Access Hospitals · Cordell, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371325
Location1220 North Glenn English StreetCordell, OK 73632 · Washita 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.

Which organizations bill Medicare for Nichole Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Blackburn reassigns Medicare benefits to 3 organizations: Bluth Family Medicine, LLC (Weatherford, OK), Urology Associates, Inc. (Oklahoma City, OK) and Diabetic Centers For Excellence LLC (Tulsa, OK). 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 Nichole Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Blackburn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health 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, Weatherford Regional Hospital, Inc Of Weatherford and Cordell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Blackburn was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.