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MRS. VICKIE C BLACKBURN NP
NPI 1487656708
Nurse Practitioner in Rock Hill, SC

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1721 EBENEZER RD STE 175, ROCK HILL, SC 29732(803) 324-5256(803) 328-0440 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Mar 26, 2025, Feb 8, 2022 (3 updates tracked since 2022).

About Mrs. Vickie C Blackburn Np NPPES

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

MRS. VICKIE C BLACKBURN NP (NPI 1487656708) is an individual nurse practitioner in Rock Hill, South Carolina, licensed in South Carolina (2650) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487656708
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. VICKIE C BLACKBURNCredential: NP
Location Address1721 EBENEZER RD STE 175Rock Hill, SC 29732-1188
Mailing AddressPo Box 604350Charlotte, NC 28260-4350 · (704) 364-8100 · Fax (704) 365-2073
Phone(803) 324-5256
Fax(803) 328-0440
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1487656708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SC · 2650✔ Licensed in NC · 5014444
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2650 (SC)
1721 EBENEZER RD STE 175, Rock Hill, SC 29732
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Mrs. Vickie C Blackburn 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 ID4981620747
PECOS Enrollment IDI20051020000654, I20250207003171
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 Reassignments

2

Medicare enrollment records show Vickie Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Prep II LLC
Same address
Surgery
1721 EBENEZER RD STE 175
Rock Hill, SC 29732
  • Reassigned Medicare billing, South Carolina and North Carolina enrollments
  • Also billed through NPI 1295531614 (North Carolina)
  • 18 clinicians in this Medicare group
NPI 1033910708 (803) 324-5256
Surgical Specialists Of Charlotte, P.A.
15 mi
Surgery
7300 CARMEL EXECUTIVE PARK DR STE 200
Charlotte, NC 28226
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Medicare enrollment name: Surgical Specialists Of Charlotte PA
  • 58 clinicians in this Medicare group
NPI 1073599734 (704) 916-2108

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 2

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.
49 services47 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

NOVANT HEALTH PREP II LLC
Surgery
1721 EBENEZER RD STE 175
ROCK HILL, SC 29732
York County (803) 324-5256
NOVANT HEALTH PREP II LLC
Surgery
1721 EBENEZER RD STE 175
ROCK HILL, SC 29732
York County (803) 324-5256
DR. SHAMLY VENUS DHIMAN M.D.
Surgery
1721 EBENEZER RD STE 175
ROCK HILL, SC 29732
York County (803) 324-5256
DR. MANTHAN DIPAK MAKADIA M.D.
Surgery
1721 EBENEZER RD STE 175
ROCK HILL, SC 29732
York County (804) 324-5256
COREY K CRAIN MD
Surgery
1721 EBENEZER RD STE 175
ROCK HILL, SC 29732
York County (803) 324-5256

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 Vickie Blackburn's NPI number?

The NPI number for Vickie Blackburn is 1487656708. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Vickie Blackburn located?

Vickie Blackburn practices at 1721 Ebenezer Rd Ste 175, Rock Hill, SC 29732. The listed phone number is (803) 324-5256.

What is Vickie Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vickie Blackburn enrolled in Medicare?

Yes. Vickie 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.

Which organizations bill Medicare for Vickie Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vickie Blackburn reassigns Medicare benefits to 2 organizations: Novant Health Prep II LLC (Rock Hill, SC) and Surgical Specialists Of Charlotte, P.A. (Charlotte, NC). 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 Vickie Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vickie Blackburn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 4 other insurers list Vickie 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 Vickie Blackburn affiliated with any hospitals?

According to CMS data, Vickie Blackburn is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Vickie Blackburn was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.