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COLLEEN R BLACKBURN APRN, CNP
NPI 1154674380
Nurse Practitioner - Adult Health in Maywood, IL

Active since October 25, 2012PECOS Enrolled
2160 SOUTH FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen R Blackburn Aprn, Cnp NPPES

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

COLLEEN R BLACKBURN APRN, CNP (NPI 1154674380) is an individual adult health provider in Maywood, Illinois, licensed in Illinois (209.009841) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154674380
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCOLLEEN R BLACKBURNCredential: APRN, CNP
Location Address2160 SOUTH FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTERMaywood, IL 60153
Mailing AddressPsc 2 Box 8509Apo, AE 09012-0035 · 4915158832446
Phone(888) 584-7888
Sole ProprietorNo
Enumeration DateOctober 25, 2012
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1154674380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209.009841
2160 SOUTH FIRST AVE, Maywood, IL 60153
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Other Names 1

Former Name (1)Colleen R Schaidle Aprn, Cnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen R Blackburn Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JOHANNES DIGGS MD
Anesthesiology
2160 SOUTH FIRST AVE, DEPT OF ANESTHESIOLOGY
MAYWOOD, IL 60153
Cook County (708) 216-9000
ALEC BLOCK
Radiology (Radiation Oncology)
2160 SOUTH FIRST AVE, LOYOLA RADATION ONCOLOGY
MAYWOOD, IL 60153
Cook County (708) 216-2729
ERIN M SCHILLING APN-CNP
Nurse Practitioner
2160 SOUTH FIRST AVE
MAYWOOD, IL 60153
Cook County (708) 216-0005
ROHIT CHAPPIDI M.D.
Hospitalist
2160 SOUTH FIRST AVE
MAYWOOD, IL 60153
Cook County (708) 216-6497
DR. HARRISON QUANMINH LE MD
Anesthesiology
2160 SOUTH FIRST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9169
KASHIF RIZVI
Dentist
2160 SOUTH FIRST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
MS. KELLY J MOYER M.S., C.G.C.
Genetic Counselor, MS
2160 SOUTH FIRST AVE, RM.1024/BUILD 103 - OB/GYN, LUMC
MAYWOOD, IL 60153
Cook County (708) 216-8167

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 Colleen Blackburn's NPI number?

The NPI number for Colleen Blackburn is 1154674380. It was assigned to this individual provider in the NPPES registry on October 25, 2012. The provider is also known as Colleen R Schaidle Aprn, Cnp.

Where is Colleen Blackburn located?

Colleen Blackburn practices at 2160 South First Ave Loyola University Medical Center, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Colleen Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Colleen Blackburn enrolled in Medicare?

Yes. Colleen Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Blackburn was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.