CHARLES DEAN BLACKBURN FNP-BC NPI 1821449679

NPI Information

  • NPI: 1821449679
  • Provider Name: CHARLES DEAN BLACKBURN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 CARDWELL ST
    SAINT CLAIR, MO
    ZIP 63077
  • Phone: (636) 629-3300

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NPI Details

Charles Dean Blackburn, FNP-BC is a family nurse practitioner in Saint Clair, MO with 10 years of experience. Charles Dean Blackburn, FNP-BC NPI is 1821449679. 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:

1001 CARDWELL ST
SAINT CLAIR, MO
ZIP 63077-094
Phone: (636) 629-3300
Fax: (636) 629-7377

The NPI 1821449679 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Injection, ondansetron hydrochloride, per 1 mg (HCPCS:J2405)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Blood creatinine level (HCPCS:82565)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • Urinalysis, manual test (HCPCS:81002)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ct scan head or brain without contrast (HCPCS:70450)

The enumeration date for this NPI number is 6/23/2016 and was last updated on 9/25/2024.

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 PractitionerFamily2016019132MISSOURINo
2363LF0000XNurse PractitionerFamily71006846AINDIANAYes

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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