MRS. REBECCA J BLACKWELL
NPI 1417594102
Nurse Practitioner - Pediatrics, Critical Care in Austin, TX

Q: What is Rebecca Blackwell's NPI number?

The NPI number for Rebecca Blackwell is 1417594102. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Rebecca Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Blackwell was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2019PECOS Enrolled

4900 MUELLER BLVD, AUSTIN, TX 78723(512) 324-0000 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Rebecca J Blackwell NPPES

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

MRS. REBECCA J BLACKWELL (NPI 1417594102) is an individual pediatrics, critical care provider in Austin, Texas, licensed in Texas (AP144164) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417594102

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameMRS. REBECCA J BLACKWELL

Location Address4900 MUELLER BLVDAustin, TX 78723-3079

Mailing Address3746 Bainbridge StRound Rock, TX 78681-2472

Phone(512) 324-0000

Sole ProprietorNo

Enumeration DateDecember 2, 2019

✔ NPI 1417594102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in TX · AP144164

4900 MUELLER BLVD, Austin, TX 78723

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rebecca J Blackwell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

Leave this field empty

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.

JENNIFER KRENA

Nurse Practitioner (Pediatrics)