KATHRYN MARIE BLACKMORE APRN, FNP-C
NPI 1649749599
Nurse Practitioner - Family in Troy, OH

Q: What is Kathryn Blackmore's NPI number?

The NPI number for Kathryn Blackmore is 1649749599. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Q: What is Kathryn Blackmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Blackmore was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 21, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

731 W MARKET ST, TROY, OH 45373(425) 861-5425 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Nov 21, 2018 (2 updates tracked since 2018).

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About Kathryn Marie Blackmore Aprn, Fnp-c NPPES

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

KATHRYN MARIE BLACKMORE APRN, FNP-C (NPI 1649749599) is an individual family provider in Troy, Ohio, licensed in Ohio (023364) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2018).

NPPES Registry Identity

NPI1649749599

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN MARIE BLACKMORECredential: APRN, FNP-C

Location Address731 W MARKET STTroy, OH 45373-3003

Mailing Address2300 Greenlawn DrTroy, OH 45373-4359 · (614) 546-6745

Phone(425) 861-5425

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2018

Enumeration DateNovember 21, 2018

Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1649749599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · 023364

Also ListedRegistered NurseTaxonomy 163W00000X · License 434484 (OH)

731 W MARKET ST, Troy, OH 45373

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Accepted Insurance

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

Kathryn Marie Blackmore Aprn, Fnp-c 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 ID3274879911

PECOS Enrollment IDI20190116003101

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 45373 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

DEBORAH LYNN LEWIS RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)