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GLADYS BLACKBURN NP
NPI 1861005589
Nurse Practitioner - Family in Peru, IN

Active since August 24, 2020PECOS EnrolledAccepts Medicare Assignment
285 W 12TH ST STE 206, PERU, IN 46970(765) 472-5335 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2025, May 9, 2024, Nov 9, 2022 and 2 more (5 updates tracked since 2020).

About Gladys Blackburn Np NPPES

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

GLADYS BLACKBURN NP (NPI 1861005589) is an individual family provider in Peru, Indiana, licensed in Indiana (71010379A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Dukes Memorial Hospital, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1861005589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGLADYS BLACKBURNCredential: NP
Location Address285 W 12TH ST STE 206Peru, IN 46970-1654
Mailing Address285 W 12th St Ste 206Peru, IN 46970-1654 · (765) 472-5335
Phone(765) 472-5335
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2020
Enumeration DateAugust 24, 2020
Last NPPES UpdateFebruary 28, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1861005589 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
License✔ Licensed in IN · 71010379A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28222639A (IN)
285 W 12TH ST STE 206, Peru, IN 46970
Open in Google Maps ↗

Other Names 1

Former Name (1)Gladys Alalade Np

Secondary Practice Location 1

Location 11901 W Western Ave Ste BSouth Bend, IN 46619-3570 · Phone (574) 234-9033

Accepted Insurance

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

Gladys Blackburn 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 ID941620025
PECOS Enrollment IDI20201009002407
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.

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.
172 services126 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Dukes Memorial Hospital

Critical Access Hospitals · Peru, IN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number151318
Location275 W 12th StPeru, IN 46970 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46970 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.32 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 3

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

YOKO SAVINO DO
Family Medicine
285 W 12TH ST STE 206
PERU, IN 46970
Miami County (765) 475-8510
MERIDIAN HEALTH SERVICES CORP.
Clinic/Center (Federally Qualified Health Center (FQHC))
285 W 12TH ST STE 206
PERU, IN 46970
Miami County (765) 288-1928
MRS. JOURDAN ALEXIS DAY PA
Physician Assistant
285 W 12TH ST STE 206
PERU, IN 46970
Miami County (765) 472-5335

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 Gladys Blackburn's NPI number?

The NPI number for Gladys Blackburn is 1861005589. It was assigned to this individual provider in the NPPES registry on August 24, 2020. The provider is also known as Gladys Alalade Np.

Where is Gladys Blackburn located?

Gladys Blackburn practices at 285 W 12th St Ste 206, Peru, IN 46970. The listed phone number is (765) 472-5335.

What is Gladys Blackburn's specialty?

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

Is Gladys Blackburn enrolled in Medicare?

Yes. Gladys 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 Gladys Blackburn accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Gladys 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 Gladys Blackburn affiliated with any hospitals?

According to CMS data, Gladys Blackburn is affiliated with Dukes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gladys Blackburn was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.