Nichole Marie Blackburn, FNP-C - Medicare Nurse Practitioner in Weatherford, OK

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Nichole Marie Blackburn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Weatherford, Oklahoma. Her current practice location is 1315 N Washington St, Weatherford, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 772-2344.

Nichole Marie Blackburn is licensed to practice in Oklahoma (license number 211675) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154027829.

Contact Information

Nichole Marie Blackburn, FNP-C
1315 N Washington St,
Weatherford, OK 73096-2443
(580) 772-2344
Not Available

Map and Direction




Provider's Profile

Full NameNichole Marie Blackburn
GenderFemale
SpecialityNurse Practitioner - Family
Location1315 N Washington St, Weatherford, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154027829
  • Provider Enumeration Date: 02/03/2023
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244684587
  • Enrollment ID: I20230920003672

Medical Identifiers

Medical identifiers for Nichole Marie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154027829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 211675 (Oklahoma)Primary

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. Nichole Marie Blackburn allows following entities to bill medicare on her behalf.
Entity NameBluth Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487883112
PECOS PAC ID: 0244383339
Enrollment ID: O20090807000108
Entity NameDiabetic Centers For Excellence Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043993546
PECOS PAC ID: 8123476926
Enrollment ID: O20231204002069

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. Nichole Marie 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
Nichole Marie Blackburn, FNP-C
Po Box 215,
Cheyenne, OK 73628-0215

Ph: (405) 401-2950		Nichole Marie Blackburn, FNP-C
1315 N Washington St,
Weatherford, OK 73096-2443

Ph: (580) 772-2344

Reviews and Comments


Nurse Practitioner Nurses in Weatherford, OK

Mrs. Kristy Renea Baker, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Illinois St, Weatherford, OK 73096
Phone: 580-323-1937    Fax: 580-323-1156
Nicole Marie Wedel, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1303 N Washington St, Weatherford, OK 73096
Phone: 580-772-2820    
John Karlin, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 215 N Kansas St, Weatherford, OK 73096
Phone: 580-774-4768    Fax: 580-774-0964
Mrs. Tamara Jo Grabeal, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1303 N Washington St, Weatherford, OK 73096
Phone: 580-772-2820    Fax: 580-772-2845
Paisley Trevino, APRN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1315 N Washington St, Weatherford, OK 73096
Phone: 580-772-2344    
Kelsey Nicole Jackson, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1303 N Washington St, Weatherford, OK 73096
Phone: 580-772-2820    

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.