JAQUELINE DARE BLACKMON PMHNP
NPI 1689370769
Nurse Practitioner - Psychiatric/Mental Health in Ruskin, FL

Active since February 01, 2023PECOS EnrolledAccepts Medicare Assignment
1610 CLIMBING DAYFLOWER DR, RUSKIN, FL 33570(910) 584-0980 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaqueline Dare Blackmon Pmhnp NPPES

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

JAQUELINE DARE BLACKMON PMHNP (NPI 1689370769) is an individual psychiatric/mental health provider in Ruskin, Florida, licensed in Florida (11024186) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689370769
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAQUELINE DARE BLACKMONCredential: PMHNP
Location Address1610 CLIMBING DAYFLOWER DRRuskin, FL 33570-4949
Mailing Address1610 Climbing Dayflower DrRuskin, FL 33570-4949 · (910) 584-0980
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1689370769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · 11024186
1610 CLIMBING DAYFLOWER DR, Ruskin, FL 33570

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

Jaqueline Dare Blackmon Pmhnp 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 ID3173980166
PECOS Enrollment IDI20230607000286
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 33570 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jaqueline Blackmon's NPI number?

The NPI number for Jaqueline Blackmon is 1689370769. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Jaqueline Blackmon located?

Jaqueline Blackmon practices at 1610 Climbing Dayflower Dr, Ruskin, FL 33570. The listed phone number is (910) 584-0980.

What is Jaqueline Blackmon's specialty?

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

Is Jaqueline Blackmon enrolled in Medicare?

Yes. Jaqueline Blackmon 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 Jaqueline Blackmon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Jaqueline Blackmon 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 Jaqueline Blackmon was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.