SALLY BLACKBURN NP
NPI 1700857216
Nurse Practitioner - Family in Bristol, VA

Q: What is Sally Blackburn's NPI number?

The NPI number for Sally Blackburn is 1700857216. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Sally Pennings.

Q: What is Sally Blackburn'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 Sally Blackburn was last updated on October 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2006PECOS Enrolled

2195 EUCLID AVE, SUITE 6, BRISTOL, VA 24201(276) 669-5179(276) 466-8870 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sally Blackburn Np NPPES

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

SALLY BLACKBURN NP (NPI 1700857216) is an individual family provider in Bristol, Virginia, licensed in Virginia (0024164957) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700857216

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSALLY BLACKBURNCredential: NP

Location Address2195 EUCLID AVE, SUITE 6Bristol, VA 24201-3655

Mailing AddressPo Box 729Saltville, VA 24370-0729 · (276) 496-4492 · Fax (276) 496-4839

Phone(276) 669-5179

Fax(276) 466-8870

Sole ProprietorNo

Enumeration DateFebruary 1, 2006

Last NPPES UpdateOctober 5, 2016

✔ NPI 1700857216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024164957

2195 EUCLID AVE, Bristol, VA 24201

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Other Names 1

Former Name (1)Sally Pennings

Other Identifiers 5

Medicare PIN022610S75VA

Medicare PIN500000973VA

Medicare PIN103I500911TN

Medicare UPINP42395VA

MedicaidQ006676TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Blackburn Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 24201 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims40 services$5.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$16.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers39 claims39 services$89.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 14

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

DR. GAYLE CATHERINE BATES M.D.

Pediatrics

2195 EUCLID AVE, SUITE 6
BRISTOL, VA 24201

Bristol City (276) 669-5179

SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC

Clinic/Center (Federally Qualified Health Center (FQHC))