| Michelle Lee Blackburn, FNP | |
|
12600 Hill Country Blvd Bldg R-103, Austin, TX 78738-6891 | |
| (512) 358-8180 | |
| (855) 270-9668 |
| Full Name | Michelle Lee Blackburn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12600 Hill Country Blvd Bldg R-103, Austin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265172779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1029771 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Austin Family Practice Clinic Pllc | 3678564358 | 50 |
| Entity Name | South Austin Family Practice Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235130592 PECOS PAC ID: 3678564358 Enrollment ID: O20040520001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lee Blackburn, FNP 5625 Eiger Rd Ste 200, Austin, TX 78735-8982 Ph: (512) 892-7076 | Michelle Lee Blackburn, FNP 12600 Hill Country Blvd Bldg R-103, Austin, TX 78738-6891 Ph: (512) 358-8180 |
Valerie Maclaurin, APRN, CPNP-AC/PC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5339 N Ih 35 Ste 100, Austin, TX 78723 Phone: 512-628-1898 Fax: 512-600-1849 | |
Anna Bullock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2609 Blake St, Austin, TX 78748 Phone: 512-923-1509 | |
Jennifer Krena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4900 Mueller Blvd, Austin, TX 78723 Phone: 512-324-0000 | |
Elizabeth Nabila Khan, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11711 N Lamar Blvd, Austin, TX 78753 Phone: 512-599-8349 | |
Jessica Anne Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Austin, TX 78745 Phone: 512-623-5300 | |
Kendall Faith Kayworth, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8402 Cross Park Dr, Austin, TX 78754 Phone: 512-549-8021 | |
Ms. Amber Leigh Peoples, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 W 34th St Ste 400, Austin, TX 78705 Phone: 512-459-6599 Fax: 512-459-8496 |