DR. MELISSA BLACKBURN DO
NPI 1609362755
Pediatrics in Winter Haven, FL

Q: What is Melissa Blackburn's NPI number?

The NPI number for Melissa Blackburn is 1609362755. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Melissa Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Blackburn was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 02, 2018PECOS Enrolled

430 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 284-5000 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Feb 4, 2022, Jun 17, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Melissa Blackburn Do NPPES

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

DR. MELISSA BLACKBURN DO (NPI 1609362755) is an individual pediatrics provider in Winter Haven, Florida, licensed in Florida (OS17882) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1609362755

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MELISSA BLACKBURNCredential: DO

Location Address430 E CENTRAL AVEWinter Haven, FL 33880-3050

Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100

Phone(863) 284-5000

Sole ProprietorYes

Enumeration DateJuly 2, 2018

Last NPPES UpdateMarch 2, 20265 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1609362755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · OS17882

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

430 E CENTRAL AVE, Winter Haven, FL 33880

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Secondary Practice Location 1

Location 11324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 687-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 (PECOS)

Dr. Melissa Blackburn Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 7

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

LAKELAND REGIONAL HEALTH SYSTEMS, INC.

Clinic/Center (Multi-Specialty)