NICOLE P BLACKWOOD CRNP
NPI 1609857572
Clinical Nurse Specialist - Gerontology in Minneapolis, MN

Q: What is Nicole Blackwood's NPI number?

The NPI number for Nicole Blackwood is 1609857572. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Nicole Blackwood's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Blackwood was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment

2925 CHICAGO AVE, MAIL ROUTE 10735, MINNEAPOLIS, MN 55407(612) 262-7800(612) 262-7022 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole P Blackwood Crnp NPPES

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

NICOLE P BLACKWOOD CRNP (NPI 1609857572) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (7298) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1609857572

Entity TypeIndividualFemale

Primary Taxonomy364SG0600X

Provider Legal NameNICOLE P BLACKWOODCredential: CRNP

Location Address2925 CHICAGO AVE, MAIL ROUTE 10735Minneapolis, MN 55407-1321

Mailing Address2925 Chicago Ave, Mail Route 10735Minneapolis, MN 55407-1321 · (612) 262-7800 · Fax (612) 262-7022

Phone(612) 262-7800

Fax(612) 262-7022

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 8, 2005

Last NPPES UpdateJanuary 25, 2024

NPPES CertifiedJanuary 25, 2024

✔ NPI 1609857572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SG0600X

License✔ Licensed in MN · 7298

2925 CHICAGO AVE, Minneapolis, MN 55407

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Nicole P Blackwood Crnp 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 ID8022311885

PECOS Enrollment IDI20201029001288

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services14 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

33 services16 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

DR. TRACI ARNETTE ROBERTS M.D.

Internal Medicine