RICKEY ALLEN BLACKBURN JR. CRNP
NPI 1841715430
Nurse Practitioner - Family in Evergreen, AL

Q: What is Rickey Blackburn's NPI number?

The NPI number for Rickey Blackburn is 1841715430. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Q: What is Rickey 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 Rickey Blackburn was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 04, 2017PECOS EnrolledAccepts Medicare Assignment

102 EDWINA ST, EVERGREEN, AL 36401(251) 578-0220(251) 578-0223 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, May 27, 2020, Aug 4, 2017 (3 updates tracked since 2017).

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About Rickey Allen Blackburn Jr. Crnp NPPES

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

RICKEY ALLEN BLACKBURN JR. CRNP (NPI 1841715430) is an individual family provider in Evergreen, Alabama, licensed in Alabama (1-131157) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841715430

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRICKEY ALLEN BLACKBURN JR.Credential: CRNP

Location Address102 EDWINA STEvergreen, AL 36401-3319

Mailing Address102 Edwina StEvergreen, AL 36401-3319 · (251) 578-0220 · Fax (251) 578-0223

Phone(251) 578-0220

Fax(251) 578-0223

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 4, 2017

Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1841715430 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 AL · 1-131157

102 EDWINA ST, Evergreen, AL 36401

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Secondary Practice Locations 2

Location 1101 Crestview AveEvergreen, AL 36401-3333 · Phone (251) 578-2480

Location 2225 Patterson AveGeorgiana, AL 36033-6628 · Phone (334) 376-2005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Rickey Allen Blackburn Jr. Crnp 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 ID6103242268

PECOS Enrollment IDI20230925000133

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 36401 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$19.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$112.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HELEN SCHARKO, M.D. , LLC

Family Medicine

102 EDWINA ST
EVERGREEN, AL 36401

Conecuh County (251) 578-0220

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 Rickey Blackburn's NPI number?

The NPI number for Rickey Blackburn is 1841715430. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Rickey Blackburn located?

Rickey Blackburn practices at 102 Edwina St, Evergreen, AL 36401. The listed phone number is (251) 578-0220.

What is Rickey Blackburn's specialty?

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

Is Rickey Blackburn enrolled in Medicare?

Yes. Rickey 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 Rickey Blackburn accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Rickey 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.

When was this NPI record last updated?

The NPPES record for Rickey Blackburn was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.