CAROLYN ANN BLACKBURN FNP-C
NPI 1902336431
Nurse Practitioner - Family in Chillicothe, MO

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment
245 S WASHINGTON ST, CHILLICOTHE, MO 64601(660) 752-9006(660) 258-9006 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, May 22, 2023, Nov 16, 2021 and 5 more (8 updates tracked since 2017).

About Carolyn Ann Blackburn Fnp-c NPPES

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

CAROLYN ANN BLACKBURN FNP-C (NPI 1902336431) is an individual family provider in Chillicothe, Missouri, licensed in Missouri (2017032960) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902336431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN ANN BLACKBURNCredential: FNP-C
Location Address245 S WASHINGTON STChillicothe, MO 64601-3031
Mailing Address245 S Washington StChillicothe, MO 64601-3031 · (660) 751-9006 · Fax (660) 258-9006
Fax(660) 258-9006
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 18, 2017
Last NPPES UpdateFebruary 11, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1902336431 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 MO · 2017032960
Also ListedRegistered NurseTaxonomy 163W00000X · License 2008017992 (MO)
245 S WASHINGTON ST, Chillicothe, MO 64601

Other Names 1

Other Name (5)Cari Blackburn Fnp-c

Other Identifiers 1

Medicaid420047801MO

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

Carolyn Ann Blackburn Fnp-c 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 ID6709151988
PECOS Enrollment IDI20171016000251
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 13

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services16 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.
20 services12 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services15 patients
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.
18 services13 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services15 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261321
Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64601 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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$184.57 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 2

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

Non-Pharmacy Dispensing Site
245 S WASHINGTON ST
CHILLICOTHE, MO 64601
Nurse Practitioner (Family)
245 S WASHINGTON ST
CHILLICOTHE, MO 64601

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 Carolyn Blackburn's NPI number?

The NPI number for Carolyn Blackburn is 1902336431. It was assigned to this individual provider in the NPPES registry on June 18, 2017. The provider is also known as Cari Blackburn Fnp-C.

Where is Carolyn Blackburn located?

Carolyn Blackburn practices at 245 S Washington St, Chillicothe, MO 64601. The listed phone number is (660) 752-9006.

What is Carolyn Blackburn's specialty?

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

Is Carolyn Blackburn enrolled in Medicare?

Yes. Carolyn 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 Carolyn Blackburn accept?

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

According to CMS data, Carolyn Blackburn is affiliated with Hannibal Regional Hospital and Hedrick Medical Center.

When was this NPI record last updated?

The NPPES record for Carolyn Blackburn was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.