Mrs Jessie Leyla Blackmon, CRNP - Medicare Nurse Practitioner in Vestavia Hls, AL

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Mrs Jessie Leyla Blackmon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Vestavia Hls, Alabama. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aqua Dermatology Of Alabama Pc and her current practice location is 1940 Stonegate Dr Ste 130, Vestavia Hls, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 977-9876.

Mrs Jessie Leyla Blackmon is licensed to practice in Alabama (license number F09201154) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811460173.

Contact Information

Mrs Jessie Leyla Blackmon, CRNP
1940 Stonegate Dr Ste 130,
Vestavia Hls, AL 35242-2541
(205) 977-9876
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessie Leyla Blackmon
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1940 Stonegate Dr Ste 130, Vestavia Hls, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jessie Leyla Blackmon graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1811460173
  • Provider Enumeration Date: 01/09/2019
  • Last Update Date: 01/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375947856
  • Enrollment ID: I20210805000345

Medical Identifiers

Medical identifiers for Mrs Jessie Leyla Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811460173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1-162172 (Alabama)Secondary
363LF0000XNurse Practitioner - Family F09201154 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aqua Dermatology Of Alabama Pc943621146338

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. Mrs Jessie Leyla Blackmon allows following entities to bill medicare on her behalf.
Entity NameAqua Dermatology Of Alabama Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477708642
PECOS PAC ID: 9436211463
Enrollment ID: O20081229000234

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. Mrs Jessie Leyla Blackmon 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
Mrs Jessie Leyla Blackmon, CRNP
1940 Stonegate Dr Ste 130,
Vestavia Hls, AL 35242-2541

Ph: (205) 977-9876		Mrs Jessie Leyla Blackmon, CRNP
1940 Stonegate Dr Ste 130,
Vestavia Hls, AL 35242-2541

Ph: (205) 977-9876

Reviews and Comments


Nurse Practitioner Nurses in Vestavia Hls, AL

James Bradley Maddox,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1940 Stonegate Dr, Vestavia Hls, AL 35242
Phone: 205-977-9876    
Mrs. Joann Woodard Devaney, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2016 Stonegate Trl, Suite 112, Vestavia Hls, AL 35242
Phone: 205-545-9530    Fax: 205-545-9529
Terra G Nelson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242
Phone: 205-977-9876    

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.