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: July 26, 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
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

Medicare Participation & PECOS CMS

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

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.

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.

Physical Therapist
615 RIDGE RD
ROXBORO, NC 27573
Skilled Nursing Facility
615 RIDGE RD
ROXBORO, NC 27573
Physician Assistant
615 RIDGE RD
ROXBORO, NC 27573
Occupational Therapist
615 RIDGE RD
ROXBORO, NC 27573
Emergency Medicine
615 RIDGE RD
ROXBORO, NC 27573
Anesthesiology
615 RIDGE RD, SUITE 202
ROXBORO, NC 27573
Speech-Language Pathologist
615 RIDGE RD
ROXBORO, NC 27573
Nurse Anesthetist, Certified Registered
615 RIDGE RD
ROXBORO, NC 27573

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.

When was this NPI record last updated?

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