TARA DESHEE BLACKWELL APRN
NPI 1326265430
Nurse Practitioner - Women's Health in Paducah, KY

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2605 KENTUCKY AVE, STE. 102, PADUCAH, KY 42003(270) 415-8965(855) 855-4585 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2021, Mar 21, 2019, Sep 29, 2015 (3 updates tracked since 2015).

About Tara Deshee Blackwell Aprn NPPES

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

TARA DESHEE BLACKWELL APRN (NPI 1326265430) is an individual women's health provider in Paducah, Kentucky, licensed in Kentucky (3005131) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1326265430
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTARA DESHEE BLACKWELLCredential: APRN
Location Address2605 KENTUCKY AVE, STE. 102Paducah, KY 42003-3800
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(855) 855-4585
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 5, 20213 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1326265430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in KY · 3005131
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3005131 (KY)
2605 KENTUCKY AVE, Paducah, KY 42003

Other Names 1

Former Name (1)Tara Deshee Hildreth Aprn

Other Identifiers 1

Medicaid7100096070KY

Accepted 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

Tara Deshee Blackwell Aprn 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 ID7012064397
PECOS Enrollment IDI20090403000144
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 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
2605 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 601
PADUCAH, KY 42003
Nurse Practitioner (Family)
2605 KENTUCKY AVE, SUITE 202
PADUCAH, KY 42003
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
Obstetrics & Gynecology (Gynecology)
2605 KENTUCKY AVE, STE 402
PADUCAH, KY 42003
Dentist (Oral and Maxillofacial Surgery)
2605 KENTUCKY AVE, STE #302
PADUCAH, KY 42003
Pediatrics
2605 KENTUCKY AVE, DOCTOR'S BUILDING #3
PADUCAH, KY 42003
Pediatrics
2605 KENTUCKY AVE
PADUCAH, KY 42003

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 Tara Blackwell's NPI number?

The NPI number for Tara Blackwell is 1326265430. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Tara Deshee Hildreth Aprn.

Where is Tara Blackwell located?

Tara Blackwell practices at 2605 Kentucky Ave Ste. 102, Paducah, KY 42003. The listed phone number is (270) 415-8965.

What is Tara Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tara Blackwell enrolled in Medicare?

Yes. Tara Blackwell 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 Tara Blackwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tara Blackwell 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 Tara Blackwell was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.