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MARYANN BLACKWELL APRN
NPI 1609589225
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since December 28, 2022PECOS Enrolled
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104(817) 250-7230 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2023, Dec 28, 2022 (2 updates tracked since 2022).

About Maryann Blackwell Aprn NPPES

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

MARYANN BLACKWELL APRN (NPI 1609589225) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1092615) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1609589225
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARYANN BLACKWELLCredential: APRN
Location Address1325 PENNSYLVANIA AVE STE 890Fort Worth, TX 76104-2145
Mailing Address3001 Goldenrod AveFort Worth, TX 76111-2728 · (682) 330-8191
Phone(817) 250-7230
Sole ProprietorNo
Enumeration DateDecember 28, 2022
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1609589225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1092615
1325 PENNSYLVANIA AVE STE 890, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13001 Goldenrod AveFort Worth, TX 76111-2728 · Phone (682) 330-8191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Maryann Blackwell Aprn 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.

Medicare Billing Reassignment

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

Texas Health Physicians Group
0.1 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 19

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

PHILLIP STEVEN WOESSNER PA-C
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-4280
EUCHARIA OKOLO PA-C
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-4280
OFONIME ANTHONY ISOKRARI ACNP-BC
Nurse Practitioner (Acute Care)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-7230
YVES J. MEYER M.D.
Neurological Surgery
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 820-4280
ZAKRAUS KUNAL MAHDAVI MD
Psychiatry & Neurology (Neurocritical Care)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-4280
JACQUELINE MOSONYI APRN-BC
Internal Medicine (Gastroenterology)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-7230
JOSEPH DOMINIC WECHSLER JR. PA-C
Physician Assistant
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-7247
ISHWARA R SANKARA MD
Psychiatry & Neurology (Neurocritical Care)
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104
Tarrant County (817) 250-4280

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 Maryann Blackwell's NPI number?

The NPI number for Maryann Blackwell is 1609589225. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Where is Maryann Blackwell located?

Maryann Blackwell practices at 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104. The listed phone number is (817) 250-7230.

What is Maryann Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Maryann Blackwell enrolled in Medicare?

Yes. Maryann Blackwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryann Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryann Blackwell reassigns Medicare benefits to Texas Health Physicians Group (Fort Worth, TX). 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 Maryann Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryann Blackwell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Maryann Blackwell 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.

When was this NPI record last updated?

The NPPES record for Maryann Blackwell was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.