Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY BLACKBURN C.N.M.
NPI 1811988355
Advanced Practice Midwife in Indianapolis, IN

Active since November 03, 2005PECOS Enrolled
1633 N CAPITOL AVE, SUITE 500, INDIANAPOLIS, IN 46202(317) 962-5014(317) 962-2427 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Blackburn C.n.m. NPPES

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

MARY BLACKBURN C.N.M. (NPI 1811988355) is an individual advanced practice midwife in Indianapolis, Indiana, licensed in Indiana (72000011A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811988355
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMARY BLACKBURNCredential: C.N.M.
Location Address1633 N CAPITOL AVE, SUITE 500Indianapolis, IN 46202-1261
Mailing Address3401 E Raymond StIndianapolis, IN 46203-4744 · (317) 788-9769 · Fax (317) 781-4868
Fax(317) 962-2427
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1811988355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in IN · 72000011A
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1633 N CAPITOL AVE, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Blackburn C.n.m. 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 46202 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Social Worker (Clinical)
1633 N CAPITOL AVE, STE 700
INDIANAPOLIS, IN 46202
Advanced Practice Midwife
1633 N CAPITOL AVE
INDIANAPOLIS, IN 46202
Advanced Practice Midwife
1633 N CAPITOL AVE, SUITE 500
INDIANAPOLIS, IN 46202
Advanced Practice Midwife
1633 N CAPITOL AVE, SUITE 500
INDIANAPOLIS, IN 46202
Obstetrics & Gynecology
1633 N CAPITOL AVE, 500
INDIANAPOLIS, IN 46202
Obstetrics & Gynecology
1633 N CAPITOL AVE, SUITE 436
INDIANAPOLIS, IN 46202
Surgery
1633 N CAPITOL AVE, SUITE 622
INDIANAPOLIS, IN 46202
Nurse Practitioner
1633 N CAPITOL AVE, SUITE 700
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811988355, enumerated as an "individual" on November 03, 2005.

The provider is located at 1633 N CAPITOL AVE SUITE 500 INDIANAPOLIS, IN 46202 and the phone number is (317) 962-5014.

Advanced Practice Midwife with taxonomy code 367A00000X.