Crystal Blackburn, APRN - Medicare Nurse Practitioner in Lexington, KY

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Crystal Blackburn, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lexington, Kentucky. Her current practice location is 120 Prosperous Pl Ste 201, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 368-0609.

Crystal Blackburn is licensed to practice in Kentucky (license number 4001215) 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 1679222475.

Contact Information

Crystal Blackburn, APRN
120 Prosperous Pl Ste 201,
Lexington, KY 40509-1866
(859) 368-0609
(859) 368-9767

Map and Direction




Provider's Profile

Full NameCrystal Blackburn
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location120 Prosperous Pl Ste 201, Lexington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679222475
  • Provider Enumeration Date: 03/21/2022
  • Last Update Date: 01/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870949019
  • Enrollment ID: I20231025000671

Medical Identifiers

Medical identifiers for Crystal Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679222475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1152860 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4001215 (Kentucky)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. Crystal Blackburn allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072
Entity NamePsychological & Behavioral Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20160926002081

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. Crystal 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
Crystal Blackburn, APRN
145 Seven Oaks Dr,
Richmond, KY 40475-8058

Ph: () -		Crystal Blackburn, APRN
120 Prosperous Pl Ste 201,
Lexington, KY 40509-1866

Ph: (859) 368-0609

Reviews and Comments


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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.