BLAIR DANIELLE HEDGES NP
NPI 1851803233
Nurse Practitioner - Psychiatric/Mental Health in Birmingham, AL

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
SPARKS CENTER - 1720 7TH AVENUE SOUTH, BIRMINGHAM, AL 35294 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2021, Oct 25, 2017 (2 updates tracked since 2017).

About Blair Danielle Hedges Np NPPES

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

BLAIR DANIELLE HEDGES NP (NPI 1851803233) is an individual psychiatric/mental health provider in Birmingham, Alabama, licensed in Ohio (APRNCNP0029753) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851803233
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBLAIR DANIELLE HEDGESCredential: NP
Location AddressSPARKS CENTER - 1720 7TH AVENUE SOUTHBirmingham, AL 35294-0001
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 245-3694
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1851803233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OH · APRNCNP0029753 Licensed in AL · 1-143295
SPARKS CENTER - 1720 7TH AVENUE SOUTH, Birmingham, AL 35294

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

Blair Danielle Hedges Np 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 ID345508925
PECOS Enrollment IDI20211118002736
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

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.
50 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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 Blair Hedges's NPI number?

The NPI number for Blair Hedges is 1851803233. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Blair Hedges located?

Blair Hedges practices at Sparks Center - 1720 7th Avenue South, Birmingham, AL 35294.

What is Blair Hedges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blair Hedges enrolled in Medicare?

Yes. Blair Hedges 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 Blair Hedges accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Blair Hedges 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 Blair Hedges affiliated with any hospitals?

According to CMS data, Blair Hedges is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Blair Hedges was last updated on November 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.