MS. JACQUELINE BETH BLACKBURN NP-C
NPI 1326578725
Nurse Practitioner - Family in Knoxville, TN

Q: What is Jacqueline Blackburn's NPI number?

The NPI number for Jacqueline Blackburn is 1326578725. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Q: What is Jacqueline Blackburn's specialty?

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

Active since June 18, 2017PECOS Enrolled

2018 WESTERN AVE, KNOXVILLE, TN 37921(865) 544-0406(865) 544-0480 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2020, Sep 17, 2019, Jun 18, 2017 (3 updates tracked since 2017).

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About Ms. Jacqueline Beth Blackburn Np-c NPPES

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

MS. JACQUELINE BETH BLACKBURN NP-C (NPI 1326578725) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (APN22416) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eagle Pass.

NPPES Registry Identity

NPI1326578725

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JACQUELINE BETH BLACKBURNCredential: NP-C

Location Address2018 WESTERN AVEKnoxville, TN 37921-5718

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(865) 544-0406

Fax(865) 544-0480

Sole ProprietorNo

Enumeration DateJune 18, 2017

Last NPPES UpdateJune 27, 20223 updates tracked since enumeration

NPPES CertifiedJune 27, 2022

✔ NPI 1326578725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · APN22416✔ Licensed in TX · AP134132

2018 WESTERN AVE, Knoxville, TN 37921

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Secondary Practice Location 1

Location 14018 El Indio HwyEagle Pass, TX 78852-6690 · Phone (830) 872-3460 · Fax (830) 872-3470

Other Identifiers 3

OtherF01171364TX · American Academy Of Nurse Practitioners-certification Board

OtherAP134132TX · Texas Board Of Nursing

Medicaid3787640-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jacqueline Beth Blackburn Np-c 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

Medicare enrollment records show Jacqueline Blackburn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherokee Health Systems

34 mi

Federally Qualified Health Center (FQHC)

6350 W ANDREW JOHNSON HWY
Talbott, TN 37877

Reassigned Medicare billing, Tennessee enrollment
257 clinicians in this Medicare group

NPI 1134128820 (423) 587-7337

Bhg Lxxxvi, LLC

526 mi

Addiction Medicine

3811 NORTH HARRISON STREET, OBOT ROOM #100
Davenport, IA 52806

Reassigned Medicare billing, Iowa enrollment
4 clinicians in this Medicare group

NPI 1093421026 (563) 388-8000

Southtown Psychiatry PLLC

954 mi

Psychiatry

909 NE LOOP 410 STE 600
San Antonio, TX 78209

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1457167702 (210) 343-5121

United Medical Centers

1,086 mi

Federally Qualified Health Center (FQHC)

2525 N VETERANS BLVD
Eagle Pass, TX 78852

Reassigned Medicare billing, Texas enrollment
76 clinicians in this Medicare group

NPI 1710980669 (830) 773-5358

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 37921 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

KIMBERLY EVANS

Licensed Practical Nurse