MS. WYVON BLACKWELL MSN, APRN,FNP-C
NPI 1821398397
Nurse Practitioner - Family in Harvey, IL

Q: What is Wyvon Blackwell's NPI number?

The NPI number for Wyvon Blackwell is 1821398397. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Q: What is Wyvon Blackwell'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 Wyvon Blackwell was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 October 29, 2010PECOS EnrolledAccepts Medicare Assignment

31 W 155TH ST, HARVEY, IL 60426(708) 596-5177(708) 596-5518 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Wyvon Blackwell Msn, Aprn,fnp-c NPPES

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

MS. WYVON BLACKWELL MSN, APRN,FNP-C (NPI 1821398397) is an individual family provider in Harvey, Illinois, licensed in Illinois (209011447) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1821398397

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. WYVON BLACKWELLCredential: MSN, APRN,FNP-C

Location Address31 W 155TH STHarvey, IL 60426

Mailing Address31 W 155th StHarvey, IL 60426-3556 · (708) 596-5177 · Fax (708) 596-5518

Phone(708) 596-5177

Fax(708) 596-5518

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 29, 2010

Last NPPES UpdateNovember 5, 2019

✔ NPI 1821398397 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

Licenses✔ Licensed in IL · 209011447✔ Licensed in IL · F0214515✔ Licensed in IL · 309007962

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 28180607A (IN)

31 W 155TH ST, Harvey, IL 60426

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Other Identifiers 1

Medicaid209011447IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Ms. Wyvon Blackwell Msn, Aprn,fnp-c 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 ID8123340403

PECOS Enrollment IDI20141124001757

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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

64 services31 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

46 services33 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

St Bernard Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140103

Location326 W 64th StChicago, IL 60621 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60426 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

MISS MAIRA OCHOA APN

Nurse Practitioner (Family)