BRENDA BLACKISTON NP-C
NPI 1255787511
Nurse Practitioner - Family in Wilmington, DE

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
401 WINSTON AVE, WILMINGTON, DE 19804(302) 290-5390(302) 993-1029 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Jun 3, 2024, Aug 15, 2023 and 2 more (5 updates tracked since 2022).

About Brenda Blackiston Np-c NPPES

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

BRENDA BLACKISTON NP-C (NPI 1255787511) is an individual family provider in Wilmington, Delaware, licensed in Delaware (LG-0000930) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255787511
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENDA BLACKISTONCredential: NP-C
Location Address401 WINSTON AVEWilmington, DE 19804-1818
Mailing Address101 Chesapeake Blvd Ste BElkton, MD 21921-6607 · (903) 948-8566 · Fax (302) 633-5844
Fax(302) 993-1029
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2016
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1255787511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DE · LG-0000930
Also ListedNurse PractitionerTaxonomy 363L00000X · License LG-0000930 (DE)
401 WINSTON AVE, Wilmington, DE 19804

Secondary Practice Location 1

Location 1101 Chesapeake Blvd Ste BElkton, MD 21921-6607 · Phone (410) 398-0590

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

Brenda Blackiston Np-c 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 ID1759671357
PECOS Enrollment IDI20160610000842
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

3

Medicare enrollment records show Brenda Blackiston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
401 WINSTON AVE
Wilmington, DE 19804
  • Reassigned Medicare billing, Delaware enrollment
Addiction Medicine
101 CHESAPEAKE BLVD, SUITE B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 7 clinicians in this Medicare group
General Practice
379 WALMART DR
Camden, DE 19934
  • Reassigned Medicare billing, Delaware enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services41 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
113 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19804 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

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

Family Medicine
401 WINSTON AVE
WILMINGTON, DE 19804

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 Brenda Blackiston's NPI number?

The NPI number for Brenda Blackiston is 1255787511. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Brenda Blackiston located?

Brenda Blackiston practices at 401 Winston Ave, Wilmington, DE 19804. The listed phone number is (302) 290-5390.

What is Brenda Blackiston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenda Blackiston enrolled in Medicare?

Yes. Brenda Blackiston 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 organizations bill Medicare for Brenda Blackiston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Blackiston reassigns Medicare benefits to 3 organizations: Working For Progress LLC (Wilmington, DE), Capricorn Health LLC (Elkton, MD) and Responsive Health LLC (Camden, DE). 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 Brenda Blackiston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenda Blackiston accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Brenda Blackiston 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 Brenda Blackiston was last updated on June 20, 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.