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MONICA V BLAKLEY FNP-C
NPI 1982923942
Nurse Practitioner - Family in Hattiesburg, MS

Active since May 28, 2010PECOS Enrolled
605 STADIUM DR, HATTIESBURG, MS 39401(601) 450-0310(601) 450-0321 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monica V Blakley Fnp-c NPPES

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

MONICA V BLAKLEY FNP-C (NPI 1982923942) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (R872218) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982923942
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA V BLAKLEYCredential: FNP-C
Location Address605 STADIUM DRHattiesburg, MS 39401-4156
Mailing AddressPo Box 511Hattiesburg, MS 39403-0511 · (601) 450-0310 · Fax (601) 450-0321
Phone(601) 450-0310
Fax(601) 450-0321
Sole ProprietorNo
Enumeration DateMay 28, 2010
Last NPPES UpdateJuly 8, 2011
✔ NPI 1982923942 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 · R872218
605 STADIUM DR, Hattiesburg, MS 39401
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN302I508028MS
Other9971504MS · Aetna Pin
Medicaid04157249MS
Other12131306MS · Caqh Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica V Blakley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Monica Blakley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covington County Hospital
27 mi
Rural Health
301 HOSPITAL BLVD
Collins, MS 39428
  • Reassigned Medicare billing, Mississippi enrollment
  • 33 clinicians in this Medicare group
NPI 1598769044 (601) 765-3180
Community Care Health Network LLC
363 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 39401 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 7

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

MRS. LISA DELORIS SLADE FNP-BC
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MARY DARLENE BOLTON FNP-BC
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. RUTHIE BOBO ZINN LCSW
Social Worker (Clinical)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
DONNA MARIA BLACK LCSW
Social Worker
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. GWENDOLYN D HARRIS-COCROFT FNP
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 450-0310
MRS. JOYCE BRENDA MARTIN CFNP
Nurse Practitioner (Family)
605 STADIUM DR
HATTIESBURG, MS 39401
Forrest County (601) 545-8700

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 Monica Blakley's NPI number?

The NPI number for Monica Blakley is 1982923942. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Monica Blakley located?

Monica Blakley practices at 605 Stadium Dr, Hattiesburg, MS 39401. The listed phone number is (601) 450-0310.

What is Monica Blakley's specialty?

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

Is Monica Blakley enrolled in Medicare?

Yes. Monica Blakley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Blakley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Blakley reassigns Medicare benefits to 2 organizations: Covington County Hospital (Collins, MS) and Community Care Health Network LLC (Nashville, TN). Each 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 Monica Blakley'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 Monica Blakley was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.