KATRINA MARIE BLACKARD NP
NPI 1467051029
Nurse Practitioner - Primary Care in Southaven, MS

Q: What is Katrina Blackard's NPI number?

The NPI number for Katrina Blackard is 1467051029. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Q: What is Katrina Blackard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Katrina Blackard was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment

83.09/100

CMS Quality Rating

401 SOUTHCREST CIR STE 212, SOUTHAVEN, MS 38671(662) 349-0488(662) 349-5974 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2022, Jan 24, 2022, Mar 12, 2021 and 1 more (4 updates tracked since 2020).

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About Katrina Marie Blackard Np NPPES

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

KATRINA MARIE BLACKARD NP (NPI 1467051029) is an individual primary care provider in Southaven, Mississippi, licensed in Mississippi (904313) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1467051029

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKATRINA MARIE BLACKARDCredential: NP

Location Address401 SOUTHCREST CIR STE 212Southaven, MS 38671-6721

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401

Phone(662) 349-0488

Fax(662) 349-5974

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 23, 2020

Last NPPES UpdateJuly 13, 20224 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1467051029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

Licenses✔ Licensed in MS · 904313✔ Licensed in TN · 28617

401 SOUTHCREST CIR STE 212, Southaven, MS 38671

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Secondary Practice Location 1

Location 12120 Exeter Rd Ste 250Germantown, TN 38138-3931 · Phone (901) 767-5864 · Fax (901) 767-6591

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Health Advantage, Octave and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Marie Blackard Np 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 ID3971918731

PECOS Enrollment IDI20210209002271, I20210322000787

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.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Blackard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memphis Lung Physicians Foundation, Inc.

14 mi

Pulmonary Disease

2120 EXETER RD STE 250
Germantown, TN 38138

Reassigned Medicare billing, Mississippi and Tennessee enrollments
51 clinicians in this Medicare group

NPI 1811279656 (901) 767-5864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.

251 services231 patients

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.

147 services127 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

53 services52 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services41 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

39 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250006

Location200 Hwy 30 WestNew Albany, MS 38652 · Union County

Emergency services Birthing friendly

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250141

Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.49

Promoting Interoperability

Improvement Activities

Cost

72.3

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers73 claims73 services$32.41 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers19 claims39 services$1.20 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers65 claims65 services$73.79 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers57 claims132 services$28.74 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

8 suppliers27 claims134 services$16.87 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers25 claims140 services$12.50 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers56 claims56 services$46.20 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers80 claims80 services$15.53 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers42 claims42 services$13.27 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers109 claims585 services$1.83 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers51 claims51 services$5.51 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers40 claims40 services$11.57 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers56 claims56 services$14.17 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier31 claims31 services$783.60 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers21 claims21 services$60.66 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers16 claims16 services$126.88 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers50 claims51 services$11.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers52 claims52 services$3.42 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers202 claims203 services$28.59 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers175 claims177 services$64.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers106 claims106 services$32.08 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers84 claims4,986 services$4.21 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers29 claims2,459 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

14 suppliers30 claims2,715 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers66 claims3,876 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier23 claims120,750 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

16 suppliers116 claims116 services$25.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MARY BRETT MILLER NP

Nurse Practitioner (Family)

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

LESLIE B PEARSON NP

Nurse Practitioner (Family)

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

MRS. WHITNEY BARRIER BROCK NP-C

Nurse Practitioner (Family)

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

MS. PAMELA JEAN SANDERS FNP

Nurse Practitioner (Family)

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

MRS. AMANDA L WILTSHIRE AGNP-C

Nurse Practitioner

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

SHANNON CHRISTIAN BURT FNP-C

Nurse Practitioner (Family)

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671

Desoto County (662) 245-5270

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 Katrina Blackard's NPI number?

The NPI number for Katrina Blackard is 1467051029. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Katrina Blackard located?

Katrina Blackard practices at 401 Southcrest Cir Ste 212, Southaven, MS 38671. The listed phone number is (662) 349-0488.

What is Katrina Blackard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Katrina Blackard enrolled in Medicare?

Yes. Katrina Blackard 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.

Which organization bills Medicare for Katrina Blackard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Blackard reassigns Medicare benefits to Memphis Lung Physicians Foundation, Inc. (Germantown, TN). The 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 Katrina Blackard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrina Blackard accept?

Health plans from Cigna Healthcare, Health Advantage, Octave, Oscar Health Plan, Inc. and Oscar Insurance Company list Katrina Blackard 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 Katrina Blackard affiliated with any hospitals?

According to CMS data, Katrina Blackard is affiliated with Baptist Memorial Hospital Union County and Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Katrina Blackard was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.