Emily Nikole Blackburn, - Medicare Nurse Practitioner in Springfield, MO

Emily Nikole Blackburn, is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Missouri. Her current practice location is 960 E Walnut Lawn St Ste 200, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-3900.

Emily Nikole Blackburn is licensed to practice in Missouri (license number 2022047562) 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 1326751793.

Contact Information

Emily Nikole Blackburn,
960 E Walnut Lawn St Ste 200,
Springfield, MO 65807-7865
(417) 269-3900
Not Available

Map and Direction




Provider's Profile

Full NameEmily Nikole Blackburn
GenderFemale
SpecialityNurse Practitioner - Family
Location960 E Walnut Lawn St Ste 200, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326751793
  • Provider Enumeration Date: 01/02/2023
  • Last Update Date: 01/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698146710
  • Enrollment ID: I20230126002998

Medical Identifiers

Medical identifiers for Emily Nikole Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326751793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2022047562 (Missouri)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. Emily Nikole Blackburn allows following entities to bill medicare on her behalf.
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164595153
PECOS PAC ID: 5799787784
Enrollment ID: O20070205000198

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. Emily Nikole 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
Emily Nikole Blackburn,
960 E Walnut Lawn St Ste 200,
Springfield, MO 65807-7865

Ph: () -
Emily Nikole Blackburn,
960 E Walnut Lawn St Ste 200,
Springfield, MO 65807-7865

Ph: (417) 269-3900

Reviews and Comments


Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2828 N National Ave, Springfield, MO 65803
Phone: 417-837-4000    Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1901 E Bennett - B, Springfield, MO 65804
Phone: 417-619-4129    
Michelle Spencer, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2750 S Campbell Ave, Springfield, MO 65807
Phone: 417-269-2281    Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807
Phone: 417-875-3000    
Beverly Jo Gann, RNC,WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803
Phone: 417-837-4000    Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1965 S Fremont Ave, Springfield, MO 65804
Phone: 417-820-5150    Fax: 417-820-5155
Sally R Schafer, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802
Phone: 417-269-4636    Fax: 417-269-7036

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.