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CAROL D BLACKSHER APRN BC
NPI 1245249382
Nurse Practitioner in Saint Louis, MO

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
3535 S JEFFERSON AVE, SUITE 118, SAINT LOUIS, MO 63118(314) 776-7999(314) 772-2257 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol D Blacksher Aprn Bc NPPES

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

CAROL D BLACKSHER APRN BC (NPI 1245249382) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (099601) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245249382
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL D BLACKSHERCredential: APRN BC
Location Address3535 S JEFFERSON AVE, SUITE 118Saint Louis, MO 63118-3930
Mailing Address713 The Hamptons LaneChesterfield, MO 63017-5901 · (314) 268-6195 · Fax (314) 645-6478
Phone(314) 776-7999
Fax(314) 772-2257
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 7, 2006
Last NPPES UpdateDecember 18, 2012
✔ NPI 1245249382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 099601
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3535 S JEFFERSON AVE, Saint Louis, MO 63118
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Other Identifiers 3

Medicare UPINQ37862
Medicare ID-Type Unspecified824343137MO
Medicaid427252515MO

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

Carol D Blacksher Aprn 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 ID2365497393
PECOS Enrollment IDI20190823001149
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
111 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services68 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services46 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services27 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63118 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Dementia: Cognitive Assessment
Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
75%28 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 13% · 24 patients
13%24 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 24 patients
0%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHRISTINE ANNE VUKOMANOVIC
Pharmacist
3535 S JEFFERSON AVE
SAINT LOUIS, MO 63118
St. Louis City (314) 645-9990
DR. GURPRAKASH SINGH GREWAL M.D.
Family Medicine
3535 S JEFFERSON AVE, SUITE 314
SAINT LOUIS, MO 63118
St. Louis City (314) 772-5070
DR. DANG HAI DO D.P.M.
Podiatrist (Foot Surgery)
3535 S JEFFERSON AVE, SUITE 201
SAINT LOUIS, MO 63118
St. Louis City (314) 577-5778
MUDASIR ASIF M.D.
Psychiatry & Neurology (Psychiatry)
3535 S JEFFERSON AVE, STE 118
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7999
DR. RICKY STUART MOFSEN D.O.
Psychiatry & Neurology (Psychiatry)
3535 S JEFFERSON AVE, SUITE 104
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7999
JAY MAHADEVAN INC
Internal Medicine
3535 S JEFFERSON AVE, SUITE 304
ST LOUIS, MO 63118
St. Louis City (314) 865-6585
ST LOUIS SURGICAL DOCTORS GROUP LLC
Specialist
3535 S JEFFERSON AVE, SUITE 201
SAINT LOUIS, MO 63118
St. Louis City (314) 577-5778
MOLLY DWYER SIMONSEN LPC
Counselor (Mental Health)
3535 S JEFFERSON AVE, SUITE 104
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7990

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 Carol Blacksher's NPI number?

The NPI number for Carol Blacksher is 1245249382. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Carol Blacksher located?

Carol Blacksher practices at 3535 S Jefferson Ave Suite 118, Saint Louis, MO 63118. The listed phone number is (314) 776-7999.

What is Carol Blacksher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Blacksher enrolled in Medicare?

Yes. Carol Blacksher 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 Carol Blacksher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Carol Blacksher 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 Carol Blacksher was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.