CMS-1500 Box 24J / 33a • NPI
1902336431
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
245 S WASHINGTON ST, CHILLICOTHE, MO, 64601-3031
✓ 9-Digit EDI 837 ZIP+4 (64601-3031)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1902336431 (CAROLYN ANN BLACKBURN, FNP-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1902336431)
Medicare Beneficiaries
25
Total Billed Services
302
Distinct CPT/HCPCS Codes
31
Medicare Allowed Total
$6,524.95
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 23 |
80053 | Blood test, comprehensive group of blood chemicals | 17 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 14 |
82306 | Vitamin d-3 level | 12 |
82607 | Cyanocobalamin (vitamin b-12) level | 14 |
82746 | Folic acid level, serum | 14 |
84439 | Thyroxine (thyroid chemical), free | 15 |
84443 | Blood test, thyroid stimulating hormone (tsh) | 15 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alendronate Sodium Alendronate Sodium | 12 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 14 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 12 | <11 |
| Furosemide Furosemide | 11 | <11 |
| Jardiance Empagliflozin | 16 | <11 |
| Levothyroxine Sodium Levothyroxine Sodium | 14 | <11 |
| Lisinopril Lisinopril | 28 | 13 |
| Mirtazapine Mirtazapine | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1902336431 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CAROLYN ANN BLACKBURN, FNP-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 245 S WASHINGTON ST, CHILLICOTHE, MO, 64601-3031 |
| Practice Telephone / Fax | Tel: (660) 752-9006 | Fax: (660) 258-9006 |
| Administrative Mailing Address | 245 S WASHINGTON ST, CHILLICOTHE, MO, 64601-3031 |
| Enumeration & Last Sync | Enumerated: 2017-06-18 | CMS Record Updated: 2025-02-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CAROLYN ANN BLACKBURN, FNP-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: MO | License: 2008017992 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MO | License: 2017032960 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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