Jennifer Blaylock, FNP - Medicare Nurse Practitioner in Polk City, IA

Jennifer Blaylock, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Polk City, Iowa. Her current practice location is 1010 S 3rd St, Polk City, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 986-6426.

Jennifer Blaylock is licensed to practice in Iowa (license number A172505) 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 1316651524.

Contact Information

Jennifer Blaylock, FNP
1010 S 3rd St,
Polk City, IA 50226-1130
(515) 986-6426
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Blaylock
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1010 S 3rd St, Polk City, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316651524
  • Provider Enumeration Date: 01/11/2023
  • Last Update Date: 03/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638528425
  • Enrollment ID: I20231205002357

Medical Identifiers

Medical identifiers for Jennifer Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316651524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A172505 (Iowa)Secondary
363LP2300XNurse Practitioner - Primary Care A172505 (Iowa)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. Jennifer Blaylock allows following entities to bill medicare on her behalf.
Entity NameOn With Life Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336633346
PECOS PAC ID: 4385553965
Enrollment ID: O20181019001088
Entity NameDouglas A Layton Do
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336781855
PECOS PAC ID: 8325495294
Enrollment ID: O20231114003673

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. Jennifer Blaylock 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
Jennifer Blaylock, FNP
15196 Nw 16th St,
Slater, IA 50244-8019

Ph: (515) 619-1475
Jennifer Blaylock, FNP
1010 S 3rd St,
Polk City, IA 50226-1130

Ph: (515) 986-6426

Reviews and Comments


Nurse Practitioner Nurses in Polk City, IA


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.