KRISTIN R BLACKBURN MSW, LMSW
NPI 1639499437
Social Worker - Clinical in Ann Arbor, MI
About Kristin R Blackburn Msw, Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN R BLACKBURN MSW, LMSW (NPI 1639499437) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801067835) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristin R Blackburn Msw, Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristin Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48103
- Reassigned Medicare billing, Michigan enrollment
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 48103 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48103
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 Kristin Blackburn's NPI number?
The NPI number for Kristin Blackburn is 1639499437. It was assigned to this individual provider in the NPPES registry on June 3, 2010.
Where is Kristin Blackburn located?
Kristin Blackburn practices at 1945 Pauline Blvd Ste. 10, Ann Arbor, MI 48103. The listed phone number is (734) 994-1531.
What is Kristin Blackburn's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kristin Blackburn enrolled in Medicare?
Yes. Kristin Blackburn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristin Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Blackburn reassigns Medicare benefits to Kristin Blackburn Lmsw PLLC (Ann Arbor, MI). 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 Kristin Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Blackburn accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kristin Blackburn 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 Kristin Blackburn was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kristin R Blackburn, MSW, LMSW · NPI 1639499437
Clinical provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1639499437 (Entity type: Individual)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801067835 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1945 PAULINE BLVD, STE. 10, Ann Arbor, MI 48103-5047
- **Phone:** (734) 994-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kristin Blackburn Lmsw PLLC (NPI 1386449031, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** June 3, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1639499437) · Data from the CMS NPPES public registry.