MATTHEW RYAN BLACKERT FNP NPI 1689264723

NPI Information

  • NPI: 1689264723
  • Provider Name: MATTHEW RYAN BLACKERT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6514 IVYHILL DR NW
    CANAL FULTON, OH
    ZIP 44614
  • Phone: (330) 703-0772

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NPI Details

Matthew Ryan Blackert, FNP is a family nurse practitioner in Canal Fulton, OH with 9 years of experience. Matthew Ryan Blackert, FNP NPI is 1689264723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6514 IVYHILL DR NW
CANAL FULTON, OH
ZIP 44614-432
Phone: (330) 703-0772

The NPI 1689264723 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.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of contrast for imaging of knee joint (HCPCS:27369)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 1/22/2021 and was last updated on 1/22/2021.

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
1363LF0000XNurse PractitionerFamilyAPRN.CNP.024115OHIOYes

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: 11/21/2025

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