DEVON M BLACKBURN NP NPI 1255706602

NPI Information

  • NPI: 1255706602
  • Provider Name: DEVON M BLACKBURN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 N CAPITOL AVE
    NP E-140
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-2894

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NPI Details

Devon M Blackburn, NP is an adult health nurse practitioner in Indianapolis, IN with 10 years of experience. Devon M Blackburn, NP NPI is 1255706602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 N CAPITOL AVE
NP E-140
INDIANAPOLIS, IN
ZIP 46202-218
Phone: (317) 962-2894
Fax: (317) 963-5285

The NPI 1255706602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 12/10/2015 and was last updated on 2/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology71005960AINDIANANo
2363LA2200XNurse PractitionerAdult Health71005960AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201336430MEDICAIDINDIANA
2000000979003OTHERINDIANAANTHEM PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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