NATALIE BLACKWOOD
NPI 1922835552
Nurse Practitioner - Pediatrics in Chicago, IL

Active since September 17, 2024PECOS Enrolled
3718 N SOUTHPORT AVE APT 3S, CHICAGO, IL 60613(973) 897-5617 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Natalie Blackwood NPPES

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

NATALIE BLACKWOOD (NPI 1922835552) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209-029899) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922835552
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNATALIE BLACKWOOD
Location Address3718 N SOUTHPORT AVE APT 3SChicago, IL 60613-3581
Mailing Address3718 N Southport Ave Apt 3sChicago, IL 60613-3581 · (973) 897-5617
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1922835552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209-029899
3718 N SOUTHPORT AVE APT 3S, Chicago, IL 60613

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Blackwood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365906567
PECOS Enrollment IDI20260709000464
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.

Medicare Billing Reassignment

Medicare enrollment records show Natalie Blackwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Natalie Blackwood's NPI number?

The NPI number for Natalie Blackwood is 1922835552. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Natalie Blackwood located?

Natalie Blackwood practices at 3718 N Southport Ave Apt 3S, Chicago, IL 60613. The listed phone number is (973) 897-5617.

What is Natalie Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Natalie Blackwood enrolled in Medicare?

Yes. Natalie Blackwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Blackwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Blackwood reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Natalie Blackwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Natalie Blackwood was last updated on September 17, 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.