Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Vickie Blackburn's specialty?

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

Q: 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 35 days 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 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: August 09, 2026.

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

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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 Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

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.

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

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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