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: August 23, 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.

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

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 Bettie Blackmon's NPI number?

The NPI number for Bettie Blackmon is 1356344949. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Bettie Blackmon located?

Bettie Blackmon practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.

What is Bettie Blackmon's specialty?

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

Is Bettie Blackmon enrolled in Medicare?

Yes. Bettie Blackmon 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 Bettie Blackmon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Bettie Blackmon 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 Bettie Blackmon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.