Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871586271 Individual Practitioner Female Practitioner

Patricia Louise Blackledge , ARNP MS

Nurse Practitioner • Centerville, IA

Professional Overview & Biography Verified Profile Summary

Patricia Blackledge, ARNP MS is a registered healthcare professional specializing in Nurse Practitioner in Centerville, IA. Practice services are available at 1015 N 18TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 N 18th St

Centerville, IA 525441170

Telephone 6416846896
Fax 6412265759
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Centerville, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Centerville, IA (1307 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A097156

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IA 097156

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A097156

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3254342 (IA)
Commercial Insurance / Payer ID Wellmark Bcbs Of Ia
36504 (IA)
Commercial Insurance / Payer ID John Deere Health
420681060C4 (IA)

Secondary Practice Locations

5950 University Ave Ste 105

West Des Moines, IA 502667756

Phone: 5158759070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1053339218

Doctor of Dental Surgery

Lacey Brooks , LISW

Social Worker - Clinical

NPI 1174166342

Licensed Independent Social Worker

Kimberlee Walker , ARNP

Nurse Practitioner - Community Health

NPI 1194770693

Advanced Registered Nurse Practitioner

Richard Davenport , LMHC, LMSW

Counselor - Mental Health

NPI 1205276821

Licensed Mental Health Counselor, Licensed Master Social Worker

Laurie Glover , APRN, CPNP

Nurse Practitioner - Pediatrics

NPI 1295017184

Advanced Practice Registered Nurse, Certified Pediatric Nurse Practitioner

Tammy Loerzel , LMSW

Social Worker - Clinical

NPI 1346605813

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2023

Registered Nurse (License #097156 in IA)

📍
Updated Practice Location May 20, 2021

Registered at 1015 N 18TH ST, CENTERVILLE, IA 525441170 (Tel: 6416846896)

📍
Updated Business Mailing Address May 20, 2021

Registered at PO BOX 458, OTTUMWA, IA 525010458 (Tel: 6416846896)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Nurse Practitioner (License #A097156 in IA)

NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2012

Registered at 1001 PENNSYLVANIA AVE, OTTUMWA, IA 525016427 (Tel: 6416843053)

📍
Updated Business Mailing Address June 19, 2012

Registered at 312 E ALTA VISTA AVE, OTTUMWA, IA 525011413 (Tel: 6416842722)

👤
Provider Name / Credentials Updated June 19, 2012

Recorded as PATRICIA BLACKLEDGE, ARNP MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Registered Nurse (License #097156 in IA)

🟢
Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871586271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: December 29, 2023
Sole Proprietor: No

Mailing Address

Po Box 458

Ottumwa, IA 525010458

Phone: 6416846896

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.