MISTY BLACKBURN NP
NPI 1770137044
Nurse Practitioner - Family in Columbus, IN

Q: What is Misty Blackburn's NPI number?

The NPI number for Misty Blackburn is 1770137044. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Misty 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 Misty Blackburn was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2019PECOS EnrolledAccepts Medicare Assignment

3015 10TH ST STE A, COLUMBUS, IN 47201(812) 372-8883(812) 373-3265 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Nov 2, 2020, Jul 25, 2019 (3 updates tracked since 2019).

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About Misty Blackburn Np NPPES

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

MISTY BLACKBURN NP (NPI 1770137044) is an individual family provider in Columbus, Indiana, licensed in Indiana (71009109A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770137044

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTY BLACKBURNCredential: NP

Location Address3015 10TH ST STE AColumbus, IN 47201-7091

Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315

Phone(812) 372-8883

Fax(812) 373-3265

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 25, 2019

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1770137044 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 IN · 71009109A

3015 10TH ST STE A, Columbus, IN 47201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Misty Blackburn Np 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 ID1254668510

PECOS Enrollment IDI20190808002215

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150112

Location2400 E 17th StColumbus, IN 47201 · Bartholomew County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 5

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

KELLY MARIE ANDERSON APRN

Nurse Practitioner (Family)