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JENNIFER LEA BLACKBURN APRN
NPI 1710502703
Nurse Practitioner - Family in Louisville, KY

Active since June 15, 2020PECOS Enrolled
10606 HICKORY GROVE DR, LOUISVILLE, KY 40291(502) 415-2742(502) 305-4631 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 5, 2025, Nov 13, 2024, Jun 15, 2020 (3 updates tracked since 2020).

About Jennifer Lea Blackburn Aprn NPPES

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

JENNIFER LEA BLACKBURN APRN (NPI 1710502703) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3014608) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710502703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LEA BLACKBURNCredential: APRN
Location Address10606 HICKORY GROVE DRLouisville, KY 40291-3776
Mailing Address10606 Hickory Grove DrLouisville, KY 40291-3776 · (502) 415-2742 · Fax (502) 305-4631
Phone(502) 415-2742
Fax(502) 305-4631
Sole ProprietorYes
Enumeration DateJune 15, 2020
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1710502703 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 KY · 3014608
10606 HICKORY GROVE DR, Louisville, KY 40291
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lea Blackburn Aprn 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 40291 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.

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 Jennifer Blackburn's NPI number?

The NPI number for Jennifer Blackburn is 1710502703. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Jennifer Blackburn located?

Jennifer Blackburn practices at 10606 Hickory Grove Dr, Louisville, KY 40291. The listed phone number is (502) 415-2742.

What is Jennifer Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Blackburn enrolled in Medicare?

Yes. Jennifer Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Blackburn was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.