ASHLEY BLACKBURN
NPI 1639051659
Nurse Practitioner - Family in Madisonville, KY
About Ashley Blackburn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY BLACKBURN (NPI 1639051659) is an individual family provider in Madisonville, Kentucky, licensed in Kentucky (1124415) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashley Blackburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MADISONVILLE, KY 42431
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 Ashley Blackburn's NPI number?
The NPI number for Ashley Blackburn is 1639051659. It was assigned to this individual provider in the NPPES registry on July 22, 2025.
Where is Ashley Blackburn located?
Ashley Blackburn practices at 95 Ymca Dr, Madisonville, KY 42431. The listed phone number is (270) 821-0066.
What is Ashley Blackburn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley Blackburn enrolled in Medicare?
Yes. Ashley Blackburn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ashley Blackburn was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ashley Blackburn · NPI 1639051659
Family physician in Madisonville, Kentucky. Individual provider, active in the CMS NPPES registry since July 22, 2025.
## Identity
- **NPI:** 1639051659 (Entity type: Individual)
- **Enumerated:** July 22, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1124415 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 95 YMCA DR, Madisonville, KY 42431-9035
- **Phone:** (270) 821-0066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639051659) · Data from the CMS NPPES public registry.