Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Mary Blackburn's NPI number?

The NPI number for Mary Blackburn is 1811988355. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Mary Blackburn's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Blackburn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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 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: August 30, 2026.

On this page

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

Phone(317) 962-5014

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

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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.

KYLE W BONHAM LSW

Social Worker

1633 N CAPITOL AVE, STE 300
INDIANAPOLIS, IN 46202

Marion County (317) 962-2700

JACOB EITEL M.D.

Radiology (Diagnostic Radiology)

1633 N CAPITOL AVE, METHODIST MEDICAL TOWER, STE 640
INDIANAPOLIS, IN 46202

Marion County (317) 962-8881

ROSALYN A FREEZE MSN

Nurse Practitioner

1633 N CAPITOL AVE, SUITE 700
INDIANAPOLIS, IN 46202

Marion County (317) 962-2915

MONICA LEE WASHBURN NP

Nurse Practitioner (Adult Health)

1633 N CAPITOL AVE, STE 322
INDIANAPOLIS, IN 46202

Marion County (317) 962-2929

MR. SCOTT THOMAS MICHALSKI M.S., C.G.C.

Genetic Counselor, MS

1633 N CAPITOL AVE, SUITE 468
INDIANAPOLIS, IN 46202

Marion County (317) 962-0663

CHRISTOPHER M CALLAHAN MD

Internal Medicine (Geriatric Medicine)

1633 N CAPITOL AVE, STE 322
INDIANAPOLIS, IN 46202

Marion County (317) 962-2929

MICHAEL ROBERT SUTTON M.D.

Radiology (Diagnostic Radiology)

1633 N CAPITOL AVE, SUITE 640
INDIANAPOLIS, IN 46202

Marion County (317) 962-8881

BENJAMIN GRAY

Student in an Organized Health Care Education/Training Program

1633 N CAPITOL AVE, METHODIST MEDICAL TOWER, STE 640
INDIANAPOLIS, IN 46202

Marion County (317) 962-8881

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 Mary Blackburn's NPI number?

The NPI number for Mary Blackburn is 1811988355. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Mary Blackburn located?

Mary Blackburn practices at 1633 N Capitol Ave Suite 500, Indianapolis, IN 46202. The listed phone number is (317) 962-5014.

What is Mary Blackburn's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Blackburn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Blackburn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.