KENNETH REY BLAIR FNP
NPI 1568858108
Nurse Practitioner - Family in Nassawadox, VA
About Kenneth Rey Blair Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH REY BLAIR FNP (NPI 1568858108) is an individual family provider in Nassawadox, Virginia, licensed in Virginia (0024172482) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Rey Blair Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Blair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gloucester, VA 23061
- Reassigned Medicare billing, Virginia enrollment
- 1,097 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23413 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Blair's NPI number?
The NPI number for Kenneth Blair is 1568858108. It was assigned to this individual provider in the NPPES registry on April 10, 2015.
Where is Kenneth Blair located?
Kenneth Blair practices at 9506 Hospital Ave, Nassawadox, VA 23413. The listed phone number is (757) 414-8333.
What is Kenneth Blair's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenneth Blair enrolled in Medicare?
Yes. Kenneth Blair is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Blair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Blair reassigns Medicare benefits to Riverside Physician Services Inc (Gloucester, VA). 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 Kenneth Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Blair was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kenneth Rey Blair, FNP · NPI 1568858108
Family physician in Nassawadox, Virginia. Individual provider, active in the CMS NPPES registry since April 10, 2015.
## Identity
- **NPI:** 1568858108 (Entity type: Individual)
- **Enumerated:** April 10, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024172482 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9506 HOSPITAL AVE, Nassawadox, VA 23413
- **Phone:** (757) 414-8333 · **Fax:** (757) 414-8338
## 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:** Riverside Physician Services Inc (NPI 1790863645, Gloucester, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1568858108) · Data from the CMS NPPES public registry.