MS. MARI CAITLYNE BLAYLOCK FNP-C
NPI 1962043406
Nurse Practitioner - Family in Smithville, MS

Q: What is Mari Blaylock's NPI number?

The NPI number for Mari Blaylock is 1962043406. It was assigned to this individual provider in the NPPES registry on October 7, 2019. The provider is also known as Ms. Mari Caitlyne Harris Fnp-C.

Q: What is Mari Blaylock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mari Blaylock was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment

60021 MONROE ST, SMITHVILLE, MS 38870(662) 651-4637(662) 651-4636 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, May 7, 2025, Jul 28, 2022 and 4 more (7 updates tracked since 2019).

On this page

About Ms. Mari Caitlyne Blaylock Fnp-c NPPES

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

MS. MARI CAITLYNE BLAYLOCK FNP-C (NPI 1962043406) is an individual family provider in Smithville, Mississippi, licensed in Mississippi (903562) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 12 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962043406

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MARI CAITLYNE BLAYLOCKCredential: FNP-C

Location Address60021 MONROE STSmithville, MS 38870-7779

Mailing Address60021 Monroe StSmithville, MS 38870-7779 · (662) 651-4637 · Fax (662) 651-4635

Phone(662) 651-4637

Fax(662) 651-4636

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 7, 2019

Last NPPES UpdateMarch 17, 20267 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1962043406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 903562

60021 MONROE ST, Smithville, MS 38870

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Other Names 1

Former Name (1)Ms. Mari Caitlyne Harris Fnp-c

Secondary Practice Locations 12

Location 1106 Walker StHoulka, MS 38850-9453 · Phone (662) 568-3316 · Fax (662) 568-3360

Location 28324 Highway 15 NEcru, MS 38841-9749 · Phone (662) 488-2950 · Fax (662) 489-8853

Location 3182 W Main StNettleton, MS 38858-6075 · Phone (662) 963-5050 · Fax (662) 963-5051

Location 412725 Highway 23 NTremont, MS 38876-8735 · Phone (662) 652-3361 · Fax (662) 652-3363

Location 540201 Hamilton RdHamilton, MS 39746-8648 · Phone (662) 343-9148 · Fax (662) 343-5811

Location 660017 Highway 23Smithville, MS 38870-9442 · Phone (662) 651-4280 · Fax (662) 651-4272

Location 7320 School Loop DrTremont, MS 38876-8575 · Phone (662) 652-3322 · Fax (662) 652-3309

Location 8499 Gloster Creek Vlg Ste D1Tupelo, MS 38801-4753 · Phone (662) 690-8007 · Fax (662) 842-4653

Location 960286 Hatley RdAmory, MS 38821-7215 · Phone (662) 256-2233 · Fax (662) 256-2288

Location 10135 E Oxford StPontotoc, MS 38863-2111 · Phone (662) 489-3382 · Fax (662) 489-7242

Location 11179 Mullen AveNettleton, MS 38858-6033 · Phone (662) 591-1815 · Fax (662) 963-1144

Location 121523 S Pontotoc RdPontotoc, MS 38863-9382 · Phone (662) 488-2960 · Fax (662) 489-8535

Other Identifiers 1

Medicaid07582036MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Ms. Mari Caitlyne Blaylock 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 ID244638377

PECOS Enrollment IDI20211004003397

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38870 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 14

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

MELISSA K BEACH LCSW

Social Worker (Clinical)