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ANGELA YVETTE BLACKBURN AGPNP
NPI 1245899616
Nurse Practitioner in Roxboro, NC

Active since June 10, 2019PECOS Enrolled
615 RIDGE RD, ROXBORO, NC 27573(336) 503-5623 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2020, Oct 3, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Angela Yvette Blackburn Agpnp NPPES

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

ANGELA YVETTE BLACKBURN AGPNP (NPI 1245899616) is an individual nurse practitioner in Roxboro, North Carolina, licensed in North Carolina (5011847) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245899616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANGELA YVETTE BLACKBURNCredential: AGPNP
Location Address615 RIDGE RDRoxboro, NC 27573-4629
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 620-4855 · Fax (919) 620-4921
Phone(336) 503-5623
Sole ProprietorNo
Enumeration DateJune 10, 2019
Last NPPES UpdateAugust 20, 20203 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1245899616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011847
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.
Also ListedHospitalistTaxonomy 208M00000X · License 5011847 (NC)
615 RIDGE RD, Roxboro, NC 27573
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Yvette Blackburn Agpnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angela Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke University Health System, Inc.
25 mi
Internal Medicine
4220 N ROXBORO ST
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 clinicians in this Medicare group
NPI 1962721308 (919) 471-8344
Apogee Medical Group North Carolina
1,869 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, North Carolina enrollment
  • 278 clinicians in this Medicare group
NPI 1043518228 (602) 778-3600

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 27573 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MADELINE CONLEY
Physical Therapist
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121
REGINALD L. HARRIS ANNEX
Skilled Nursing Facility
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121
NORTH CAROLINA EM I MEDICAL SERVICES P C
Physician Assistant
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121
MS. ERICA EILEEN LUNA OTR
Occupational Therapist
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121
CAITLIN MARIE MULVIHILL MD
Emergency Medicine
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121
PRIVATE DIAGNOSTIC CLINIC, PLLC
Anesthesiology
615 RIDGE RD, SUITE 202
ROXBORO, NC 27573
Person County (919) 684-8111
SAMANTHA JO HANES M.A. CCC-SLP
Speech-Language Pathologist
615 RIDGE RD
ROXBORO, NC 27573
Person County (814) 389-6941
WENDY P BUSH CRNA
Nurse Anesthetist, Certified Registered
615 RIDGE RD
ROXBORO, NC 27573
Person County (336) 599-2121

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 Angela Blackburn's NPI number?

The NPI number for Angela Blackburn is 1245899616. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Angela Blackburn located?

Angela Blackburn practices at 615 Ridge Rd, Roxboro, NC 27573. The listed phone number is (336) 503-5623.

What is Angela Blackburn's specialty?

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

Is Angela Blackburn enrolled in Medicare?

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

Which organizations bill Medicare for Angela Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Blackburn reassigns Medicare benefits to 2 organizations: Duke University Health System, Inc. (Durham, NC) and Apogee Medical Group North Carolina (Scottsdale, AZ). 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 Angela Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Blackburn was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.