MRS. BETTIE BLACKMON FNP-C
NPI 1356344949
Nurse Practitioner - Family in Clinton, LA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292(225) 683-3411 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jan 21, 2020 (2 updates tracked since 2020).

About Mrs. Bettie Blackmon Fnp-c NPPES

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

MRS. BETTIE BLACKMON FNP-C (NPI 1356344949) is an individual family provider in Clinton, Louisiana, licensed in Louisiana (AP03903) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1356344949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BETTIE BLACKMONCredential: FNP-C
Location Address11990 JACKSON STClinton, LA 70722-3210
Mailing AddressPo Box 395Clinton, LA 70722-0395 · (225) 683-5292 · Fax (225) 683-3411
Fax(225) 683-3411
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2020
NPI 1356344949 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 LA · AP03903
11990 JACKSON ST, Clinton, LA 70722

Other Identifiers 1

Medicaid1114367LA

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

Mrs. Bettie Blackmon Fnp-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 ID1254520307
PECOS Enrollment IDI20110105001032
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 70722 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

General Practice
11990 JACKSON ST
CLINTON, LA 70722
Nurse Practitioner
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
Nurse Practitioner (Family)
11990 JACKSON ST
CLINTON, LA 70722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356344949, enumerated as an "individual" on May 27, 2005.

The provider is located at 11990 JACKSON ST CLINTON, LA 70722 and the phone number is (225) 683-5292.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.