HOLLY ANGELA BLACKBURN
NPI 1689245466
Nurse Practitioner - Acute Care in Sheffield, AL

Q: What is Holly Blackburn's NPI number?

The NPI number for Holly Blackburn is 1689245466. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Q: What is Holly Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Holly Blackburn was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 02, 2021PECOS EnrolledAccepts Medicare Assignment

1300 S MONTGOMERY AVE, SHEFFIELD, AL 35660(256) 710-9642 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Holly Angela Blackburn NPPES

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

HOLLY ANGELA BLACKBURN (NPI 1689245466) is an individual acute care provider in Sheffield, Alabama, licensed in Alabama (1-089407) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2021).

NPPES Registry Identity

NPI1689245466

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameHOLLY ANGELA BLACKBURN

Location Address1300 S MONTGOMERY AVESheffield, AL 35660-6334

Mailing Address107 Hickory CvFlorence, AL 35634-2306 · (256) 710-9642

Phone(256) 710-9642

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2021

Enumeration DateJuly 2, 2021

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1689245466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AL · 1-089407

1300 S MONTGOMERY AVE, Sheffield, AL 35660

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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

Holly Angela Blackburn 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 ID5597122564

PECOS Enrollment IDI20230606003387

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 35660 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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. KERI ANN JONES PHARMD

Pharmacist