BRIAN T BLACKMAN DNP
NPI 1356173850
Nurse Practitioner - Family in Klamath Falls, OR

Q: What is Brian Blackman's NPI number?

The NPI number for Brian Blackman is 1356173850. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Q: What is Brian Blackman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Blackman was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 14, 2024PECOS EnrolledAccepts Medicare Assignment

2074 S 6TH ST, KLAMATH FALLS, OR 97601(541) 851-8110(541) 851-8114 Get Directions Write a Review

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

Record update history: Jul 20, 2026, Aug 14, 2024 (2 updates tracked since 2024).

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About Brian T Blackman Dnp NPPES

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

BRIAN T BLACKMAN DNP (NPI 1356173850) is an individual family provider in Klamath Falls, Oregon, licensed in Oregon (10009263) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356173850

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRIAN T BLACKMANCredential: DNP

Location Address2074 S 6TH STKlamath Falls, OR 97601-3372

Mailing Address2074 S 6th StKlamath Falls, OR 97601-3372 · (541) 851-8110 · Fax (541) 851-8114

Phone(541) 851-8110

Fax(541) 851-8114

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 14, 2024

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1356173850 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

License✔ Licensed in OR · 10009263

2074 S 6TH ST, Klamath Falls, OR 97601

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1403 Pine StKlamath Falls, OR 97601-6020 · Phone (541) 851-8110 · Fax (541) 885-5512

Location 2103 S Wasco AveChiloquin, OR 97624-7002 · Phone (541) 783-2292 · Fax (541) 885-5512

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Brian T Blackman Dnp 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 ID8921548371

PECOS Enrollment IDI20240911004008

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 Reassignment

Medicare enrollment records show Brian Blackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Klamath Health Partnership Inc

Same address

Federally Qualified Health Center (FQHC)

2074 SOUTH 6TH STREET
Klamath Falls, OR 97601

Reassigned Medicare billing, Oregon enrollment
22 clinicians in this Medicare group

NPI 1538155825 (541) 851-8110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380050

Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97601 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

NOAH FUNK PA-C

Physician Assistant