GINA LEE BLACKMAN MSE, CCC-SLP
NPI 1174379408
Speech-Language Pathologist in Norfolk, NE

Active since April 26, 2024Accepts Medicare Assignment
3901 W NORFOLK AVE STE P, NORFOLK, NE 68701(402) 371-9026(402) 371-0807 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Apr 26, 2024 (2 updates tracked since 2024).

About Gina Lee Blackman Mse, Ccc-slp NPPES

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

GINA LEE BLACKMAN MSE, CCC-SLP (NPI 1174379408) is an individual speech-language pathologist provider in Norfolk, Nebraska, licensed in Nebraska (2846) and active in the NPI registry since April 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1174379408
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameGINA LEE BLACKMANCredential: MSE, CCC-SLP
Location Address3901 W NORFOLK AVE STE PNorfolk, NE 68701-4405
Mailing Address3901 W Norfolk Ave Ste PNorfolk, NE 68701-4405 · (402) 371-9026 · Fax (402) 371-0807
Fax(402) 371-0807
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2024
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1174379408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NE · 2846
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3901 W NORFOLK AVE STE P, Norfolk, NE 68701

Accepted 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

Gina Lee Blackman Mse, Ccc-slp 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 ID345681995
PECOS Enrollment IDI20240514000501

Medicare Billing Reassignment

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

Chiropractor
620 E 25TH ST STE 7
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
  • 46 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 9

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

Physical Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Occupational Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Physical Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Physical Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Occupational Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Occupational Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Occupational Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701
Occupational Therapist
3901 W NORFOLK AVE STE P
NORFOLK, NE 68701

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 Gina Blackman's NPI number?

The NPI number for Gina Blackman is 1174379408. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Gina Blackman located?

Gina Blackman practices at 3901 W Norfolk Ave Ste P, Norfolk, NE 68701. The listed phone number is (402) 371-9026.

What is Gina Blackman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Gina Blackman enrolled in Medicare?

Yes. Gina Blackman 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 organization bills Medicare for Gina Blackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Blackman reassigns Medicare benefits to Family Physical Therapy & Sports Center (Kearney, NE). The 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 Gina Blackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Blackman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Gina Blackman 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 Gina Blackman was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.