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JEANNE MARIE BLAKESLEE PMHNP
NPI 1265907414
Nurse Practitioner - Psychiatric/Mental Health in Southlake, TX

Active since October 03, 2018PECOS EnrolledAccepts Medicare Assignment
1100 E SOUTHLAKE BLVD STE 300, SOUTHLAKE, TX 76092(178) 873-0595(817) 873-0596 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Mar 28, 2023, Oct 3, 2018 (3 updates tracked since 2018).

About Jeanne Marie Blakeslee Pmhnp NPPES

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

JEANNE MARIE BLAKESLEE PMHNP (NPI 1265907414) is an individual psychiatric/mental health provider in Southlake, Texas, licensed in Texas (AP139257) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265907414
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEANNE MARIE BLAKESLEECredential: PMHNP
Location Address1100 E SOUTHLAKE BLVD STE 300Southlake, TX 76092-6350
Mailing Address101 W Cooperative Way, Ste 110Georgetown, TX 78626-8209 · (178) 873-0595 · Fax (817) 873-0596
Phone(178) 873-0595
Fax(817) 873-0596
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 3, 2018
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1265907414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP139257
1100 E SOUTHLAKE BLVD STE 300, Southlake, TX 76092
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1801 7th AveFort Worth, TX 76104-2733 · Phone (682) 885-1050
Location 21515 S Capital Of Texas Hwy Ste 300Austin, TX 78746-6544 · Phone (844) 824-8775

Other Identifiers 1

OtherAP139257TX · Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Jeanne Marie Blakeslee Pmhnp 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 ID4587917588
PECOS Enrollment IDI20181022000344
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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

KELLIE ABBEE NP
Nurse Practitioner (Psychiatric/Mental Health)
1100 E SOUTHLAKE BLVD STE 300
SOUTHLAKE, TX 76092
Tarrant County (817) 873-0590
ADVANCED PSYCHIATRY PLLC
Psychiatry & Neurology (Psychiatry)
1100 E SOUTHLAKE BLVD STE 300
SOUTHLAKE, TX 76092
Tarrant County (817) 873-0590
AARON LANGFORD
Nurse Practitioner (Psychiatric/Mental Health)
1100 E SOUTHLAKE BLVD STE 300
SOUTHLAKE, TX 76092
Tarrant County (817) 873-0590

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 Jeanne Blakeslee's NPI number?

The NPI number for Jeanne Blakeslee is 1265907414. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Jeanne Blakeslee located?

Jeanne Blakeslee practices at 1100 E Southlake Blvd Ste 300, Southlake, TX 76092. The listed phone number is (178) 873-0595.

What is Jeanne Blakeslee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeanne Blakeslee enrolled in Medicare?

Yes. Jeanne Blakeslee 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 Jeanne Blakeslee accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jeanne Blakeslee 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 Jeanne Blakeslee was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.