MRS. REBECCA J BLACKWELL
NPI 1417594102
Nurse Practitioner - Pediatrics, Critical Care in Austin, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Rebecca J Blackwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Blackwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 430 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
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 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.
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.
AUSTIN, TX 78723
AUSTIN, TX 78723
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 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.
Where is Rebecca Blackwell located?
Rebecca Blackwell practices at 4900 Mueller Blvd, Austin, TX 78723. The listed phone number is (512) 324-0000.
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.
Is Rebecca Blackwell enrolled in Medicare?
Yes. Rebecca Blackwell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rebecca Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Blackwell reassigns Medicare benefits to 2 organizations: Victoria Emergency Partners LLC (Gonzales, TX) and Texas Children's Physician Group (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Blackwell accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Rebecca Blackwell 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 Rebecca Blackwell was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Rebecca J Blackwell · NPI 1417594102
Pediatrics, Critical Care physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1417594102 (Entity type: Individual)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** AP144164 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 MUELLER BLVD, Austin, TX 78723-3079
- **Phone:** (512) 324-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Victoria Emergency Partners LLC (NPI 1164770996, Gonzales, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417594102) · Data from the CMS NPPES public registry.