CHARLES DEAN BLACKBURN FNP-BC
NPI 1821449679
Nurse Practitioner - Family in Saint Clair, MO

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
1001 CARDWELL ST, SAINT CLAIR, MO 63077(636) 629-3300(636) 629-7377 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 25, 2024, Jun 23, 2016 (2 updates tracked since 2016).

About Charles Dean Blackburn Fnp-bc NPPES

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

CHARLES DEAN BLACKBURN FNP-BC (NPI 1821449679) is an individual family provider in Saint Clair, Missouri, licensed in Indiana (71006846A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and maintains a secondary practice location in Jasper.

NPPES Registry Identity

NPI1821449679
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES DEAN BLACKBURNCredential: FNP-BC
Location Address1001 CARDWELL STSaint Clair, MO 63077-1094
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (314) 364-7586
Fax(636) 629-7377
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2016
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1821449679 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
Licenses Licensed in IN · 71006846A Licensed in MO · 2016019132
1001 CARDWELL ST, Saint Clair, MO 63077

Secondary Practice Location 1

Location 1800 W 9th StJasper, IN 47546-2514 · Phone (812) 996-2345

Accepted 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

Charles Dean Blackburn Fnp-bc 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 ID7315220837
PECOS Enrollment IDI20190327002721
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 23

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services109 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
96 services19 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
59 services58 patients
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.
56 services55 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
52 services51 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
49 services48 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63077 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 9

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

Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
ST. CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Internal Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Nurse Practitioner (Family)
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077

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 Charles Blackburn's NPI number?

The NPI number for Charles Blackburn is 1821449679. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Charles Blackburn located?

Charles Blackburn practices at 1001 Cardwell St, Saint Clair, MO 63077. The listed phone number is (636) 629-3300.

What is Charles Blackburn's specialty?

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

Is Charles Blackburn enrolled in Medicare?

Yes. Charles Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Blackburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Charles Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Blackburn affiliated with any hospitals?

According to CMS data, Charles Blackburn is affiliated with Mercy Hospital Washington.

When was this NPI record last updated?

The NPPES record for Charles Blackburn was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.