Carolyn Ann Blackburn, FNP-C - Medicare Nurse Practitioner in Chillicothe, MO

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Carolyn Ann Blackburn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chillicothe, Missouri. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is 245 S Washington St, Chillicothe, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 752-9006.

Carolyn Ann Blackburn is licensed to practice in Missouri (license number 2017032960) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902336431.

Contact Information

Carolyn Ann Blackburn, FNP-C
245 S Washington St,
Chillicothe, MO 64601-3031
(660) 752-9006
(660) 258-9006

Map and Direction




Provider's Profile

Full NameCarolyn Ann Blackburn
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location245 S Washington St, Chillicothe, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Ann Blackburn graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1902336431
  • Provider Enumeration Date: 06/18/2017
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709151988
  • Enrollment ID: I20171016000251

Medical Identifiers

Medical identifiers for Carolyn Ann Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902336431NPI-NPPES
420047801MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2008017992 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2017032960 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hannibal Regional Healthcare System Inc1254236300205

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn Ann Blackburn allows following entities to bill medicare on her behalf.
Entity NameNorthwest Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467497677
PECOS PAC ID: 7113835174
Enrollment ID: O20040720001347
Entity NameHannibal Regional Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134311392
PECOS PAC ID: 1254236300
Enrollment ID: O20071004000422
Entity NameScotland County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083624647
PECOS PAC ID: 8224940366
Enrollment ID: O20140226001733

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Ann Blackburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Ann Blackburn, FNP-C
2303 Village Dr,
Saint Joseph, MO 64506-4954

Ph: (816) 307-4893		Carolyn Ann Blackburn, FNP-C
245 S Washington St,
Chillicothe, MO 64601-3031

Ph: (660) 752-9006

Reviews and Comments


Nurse Practitioner Nurses in Chillicothe, MO

Kelly Chrisman, NPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3151 Litton Rd, Chillicothe, MO 64601
Phone: 660-646-4032    
Kayla Nicole Suber, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 861 Fairway Dr, Chillicothe, MO 64601
Phone: 660-646-0000    Fax: 660-646-5404
Mrs. Barbara D Mccullough, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 W Business 36, Chillicothe, MO 64601
Phone: 660-280-2500    
Nancy P Stauffer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3151 Litton Rd, Chillicothe, MO 64601
Phone: 660-646-4032    Fax: 660-646-1217
Carol J Constant, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 11th St, Suite 11, Chillicothe, MO 64601
Phone: 660-646-6411    Fax: 660-646-5881
Sarah Beth Penn, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 245 S Washington St, Chillicothe, MO 64601
Phone: 660-752-9006    
Ms. Julie Anna Cramer, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3151 Litton Rd, Chillicothe, MO 64601
Phone: 660-646-4032    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.