TRACI LAUREN BLAKEBURN AG-ACNP
NPI 1861122749
Nurse Practitioner - Acute Care in Rock Hill, SC
About Traci Lauren Blakeburn Ag-acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI LAUREN BLAKEBURN AG-ACNP (NPI 1861122749) is an individual acute care provider in Rock Hill, South Carolina, licensed in South Carolina (26907) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Traci Lauren Blakeburn Ag-acnp 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Pineville
Acute Care Hospitals · Charlotte, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCK HILL, SC 29732
ROCK HILL, SC 29732
ROCK HILL, SC 29732
ROCK HILL, SC 29732
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 Traci Blakeburn's NPI number?
The NPI number for Traci Blakeburn is 1861122749. It was assigned to this individual provider in the NPPES registry on June 14, 2022.
Where is Traci Blakeburn located?
Traci Blakeburn practices at 196 Cardiology Dr, Rock Hill, SC 29732. The listed phone number is (803) 324-5135.
What is Traci Blakeburn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Traci Blakeburn enrolled in Medicare?
Yes. Traci Blakeburn 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.
Is Traci Blakeburn affiliated with any hospitals?
According to CMS data, Traci Blakeburn is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Traci Blakeburn was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Traci Lauren Blakeburn, AG-ACNP · NPI 1861122749
Acute Care physician in Rock Hill, South Carolina. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1861122749 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26907 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 196 CARDIOLOGY DR, Rock Hill, SC 29732-1174
- **Phone:** (803) 324-5135
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861122749) · Data from the CMS NPPES public registry.