CRYSTAL BLACKBURN APRN
NPI 1679222475
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
120 PROSPEROUS PL STE 201, LEXINGTON, KY 40509(859) 368-0609(859) 368-9767 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Blackburn Aprn NPPES

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

CRYSTAL BLACKBURN APRN (NPI 1679222475) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (4001215) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679222475
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL BLACKBURNCredential: APRN
Location Address120 PROSPEROUS PL STE 201Lexington, KY 40509-1866
Mailing Address145 Seven Oaks DrRichmond, KY 40475-8058
Fax(859) 368-9767
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1679222475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 4001215
Also ListedRegistered NurseTaxonomy 163W00000X · License 1152860 (KY)
120 PROSPEROUS PL STE 201, Lexington, KY 40509

Secondary Practice Location 1

Location 13050 Rio Dosa DrLexington, KY 40509-1540 · Phone (859) 269-2325

Accepted 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

Crystal Blackburn Aprn 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 ID3870949019
PECOS Enrollment IDI20231025000671
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 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 12

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

Nurse Practitioner (Psychiatric/Mental Health)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Registered Nurse (Critical Care Medicine)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Social Worker (Clinical)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Social Worker (Clinical)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Counselor (Professional)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Nurse Practitioner (Psychiatric/Mental Health)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Registered Nurse
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509
Nurse Practitioner (Psychiatric/Mental Health)
120 PROSPEROUS PL STE 201
LEXINGTON, KY 40509

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 Crystal Blackburn's NPI number?

The NPI number for Crystal Blackburn is 1679222475. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Crystal Blackburn located?

Crystal Blackburn practices at 120 Prosperous Pl Ste 201, Lexington, KY 40509. The listed phone number is (859) 368-0609.

What is Crystal Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Blackburn enrolled in Medicare?

Yes. Crystal Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Blackburn accept?

Health plans from CareSource list Crystal 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 Crystal Blackburn was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.