MRS. STEPHANIE A BLACKBURN APRN, PMHNP-BC
NPI 1174317697
Nurse Practitioner - Psychiatric/Mental Health in Parsons, KS

Q: What is Stephanie Blackburn's NPI number?

The NPI number for Stephanie Blackburn is 1174317697. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Q: What is Stephanie Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 08, 2025PECOS EnrolledAccepts Medicare Assignment

2100 COMMERCE DR, PARSONS, KS 67357(888) 777-9170 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Apr 8, 2025 (2 updates tracked since 2025).

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About Mrs. Stephanie A Blackburn Aprn, Pmhnp-bc NPPES

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

MRS. STEPHANIE A BLACKBURN APRN, PMHNP-BC (NPI 1174317697) is an individual psychiatric/mental health provider in Parsons, Kansas, licensed in Kansas (53-84248-042) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174317697

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. STEPHANIE A BLACKBURNCredential: APRN, PMHNP-BC

Location Address2100 COMMERCE DRParsons, KS 67357-4951

Mailing AddressPo Box 1832Pittsburg, KS 66762-1832 · (620) 240-5668

Phone(888) 777-9170

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 8, 2025

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1174317697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in KS · 53-84248-042✔ Licensed in MI · 4704328770

2100 COMMERCE DR, Parsons, KS 67357

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Mrs. Stephanie A Blackburn Aprn, Pmhnp-bc 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 ID2567970213

PECOS Enrollment IDI20260612003696

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 Reassignment

Medicare enrollment records show Stephanie Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Southeast Kansas, Inc

Same address

Federally Qualified Health Center (FQHC)

2100 COMMERCE DR
Parsons, KS 67357

Reassigned Medicare billing, Kansas and Oklahoma enrollments
Also billed through NPI 1386294213 (Oklahoma)
177 clinicians in this Medicare group

NPI 1669858973 (620) 717-4450

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67357 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

MARANDA CHANTELL SCOTT FNP

Nurse Practitioner (Family)