HOLLY ANGELA BLACKBURN
NPI 1689245466
Nurse Practitioner - Acute Care in Sheffield, AL
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
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheffield, AL 35660
- Reassigned Medicare billing, Alabama enrollment
- 21 clinicians in this Medicare group
Florence, AL 35630
- Reassigned Medicare billing, Alabama enrollment
- 8 clinicians in this Medicare group
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 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.
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.
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
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 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.
Where is Holly Blackburn located?
Holly Blackburn practices at 1300 S Montgomery Ave, Sheffield, AL 35660. The listed phone number is (256) 710-9642.
What is Holly Blackburn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Holly Blackburn enrolled in Medicare?
Yes. Holly 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.
Which organizations bill Medicare for Holly Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Blackburn reassigns Medicare benefits to 2 organizations: Keller Hospitalist Services (Sheffield, AL) and N Rao Boorgu MD PC (Florence, AL). Each 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 Holly Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Blackburn accept?
Health plans from Blue Cross and Blue Shield of Alabama list Holly 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 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.
# Holly Angela Blackburn · NPI 1689245466
Acute Care physician in Sheffield, Alabama. Individual provider, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1689245466 (Entity type: Individual)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1-089407 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 S MONTGOMERY AVE, Sheffield, AL 35660-6334
- **Phone:** (256) 710-9642
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Keller Hospitalist Services (NPI 1235797200, Sheffield, AL); N Rao Boorgu MD PC (NPI 1780641951, Florence, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689245466) · Data from the CMS NPPES public registry.