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NPI · 1003554494 · NPPES-sourced

Scott Blackburn NP

ActivePrimary Care Nurse Practitioner
NPI Number
1003554494
Type 1 · Individual
Taxonomy Code
363LP2300X
Contact
(313) 383-7071
License MI · 4704326782
Last Updated
Enumerated
Primary practice addressMI · 48195-3380
11275 Allen RdSouthgate, MI 48195-3380
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About this NPIWhat this record shows.

NPI 1003554494 is registered to Scott Blackburn NP, a Primary Care Nurse Practitioner practising at 11275 Allen Rd in Southgate, Michigan. Primary Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Scott Blackburn NP has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 4704326782MI· Issued by STATE LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Scott Blackburn NP accepts. To confirm in-network status with your specific health plan, contact Scott Blackburn NP directly at (313) 383-7071.

Frequently asked

Yes. NPI 1003554494 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (313) 383-7071.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Scott Blackburn NP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LP2300X
Last updated
Enumerated
StatusActive
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