MRS. BLAKELY JO WEATHERFORD APRN-BC
NPI 1730406562
Nurse Practitioner - Family in Memphis, TN

Q: What is Blakely Weatherford's NPI number?

The NPI number for Blakely Weatherford is 1730406562. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Q: What is Blakely Weatherford's specialty?

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

Active since May 04, 2010PECOS Enrolled

848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-6187(901) 287-5895 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Blakely Jo Weatherford Aprn-bc NPPES

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

MRS. BLAKELY JO WEATHERFORD APRN-BC (NPI 1730406562) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (14831) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730406562

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BLAKELY JO WEATHERFORDCredential: APRN-BC

Location Address848 ADAMS AVEMemphis, TN 38103-2816

Mailing Address50 North Dunlap Neuroscience 7th FloorMemphis, TN 38103 · (901) 287-6187 · Fax (901) 287-5895

Phone(901) 287-6187

Fax(901) 287-5895

Sole ProprietorNo

Enumeration DateMay 4, 2010

Last NPPES UpdateJanuary 7, 2020

✔ NPI 1730406562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in TN · 14831

Also ListedRegistered NurseTaxonomy 163W00000X · License R79688 (AR)

848 ADAMS AVE, Memphis, TN 38103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Blakely Jo Weatherford Aprn-bc 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.

Medicare Billing Reassignments

Medicare enrollment records show Blakely Weatherford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Lebonheur Pediatric Specialists, Inc.

Same address

Pediatrics

848 ADAMS AVE.
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
582 clinicians in this Medicare group

NPI 1093024101 (901) 287-7337

St Jude Children's Research Hospital, Inc.

0.9 mi

Pediatrics

262 DANNY THOMAS PL
Memphis, TN 38105

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: St Jude Childrens Research Hospital Inc
367 clinicians in this Medicare group

NPI 1306335088 (901) 595-3300

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 38103 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

GLENN T WETZEL MD

Pediatrics (Pediatric Cardiology)