ASHLEY BLACKBURN CRNP
NPI 1427822378
Family Medicine in Reading, PA

Active since November 10, 2023PECOS EnrolledAccepts Medicare Assignment
1903 MORGANTOWN RD, READING, PA 19607(610) 777-4040(610) 777-5575 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Blackburn Crnp NPPES

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

ASHLEY BLACKBURN CRNP (NPI 1427822378) is an individual family medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (SP028633) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1427822378
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameASHLEY BLACKBURNCredential: CRNP
Location Address1903 MORGANTOWN RDReading, PA 19607-9620
Mailing Address1903 Morgantown RdReading, PA 19607-9620 · (610) 777-4040 · Fax (610) 777-5575
Fax(610) 777-5575
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
NPI 1427822378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · SP028633
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1903 MORGANTOWN RD, Reading, PA 19607

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ashley Blackburn Crnp 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 ID9931558103
PECOS Enrollment IDI20231213001458
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
363 services224 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
180 services144 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
73 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services53 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
54 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19607 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1903 MORGANTOWN RD
READING, PA 19607
Family Medicine
1903 MORGANTOWN RD
READING, PA 19607
Nurse Practitioner (Family)
1903 MORGANTOWN RD
READING, PA 19607
Nurse Practitioner (Family)
1903 MORGANTOWN RD
READING, PA 19607
Family Medicine
1903 MORGANTOWN RD
READING, PA 19607
Marriage & Family Therapist
1903 MORGANTOWN RD
READING, PA 19607
Family Medicine
1903 MORGANTOWN RD
READING, PA 19607
Physician Assistant (Medical)
1903 MORGANTOWN RD, INTEGRATED MEDICAL GROUP/GREENHILLS FAMILY PRACTICE
READING, PA 19607

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 Ashley Blackburn's NPI number?

The NPI number for Ashley Blackburn is 1427822378. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Ashley Blackburn located?

Ashley Blackburn practices at 1903 Morgantown Rd, Reading, PA 19607. The listed phone number is (610) 777-4040.

What is Ashley Blackburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashley Blackburn enrolled in Medicare?

Yes. Ashley Blackburn 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 Ashley Blackburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ashley Blackburn 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.

Is Ashley Blackburn affiliated with any hospitals?

According to CMS data, Ashley Blackburn is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Ashley Blackburn was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.