Active NPI 1396945663 Individual Practitioner Male Practitioner

Cory W Blocker , PNP

Nurse Practitioner - Pediatrics • Dexter, MO

Professional Overview & Biography Verified Profile Summary

Cory Blocker, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Dexter, MO. Practice services are available at 1200 N ONE MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 N One Mile Rd

Dexter, MO 638411000

Telephone 5736247575

Associated Practice Facility / Clinic

🏢 Dexter Emergency Physicians, Llc Facility NPI 1154365070

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Dexter, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Dexter, MO (900 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MO 148700

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Missouri Pediatric Nurse

148700 (MO)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Edward Reese , MD

Family Medicine

NPI 1013279918

Doctor of Medicine (M.D.)

Ashley Gantner , FNP-C

Nurse Practitioner - Family

NPI 1245959717

Family Nurse Practitioner (Certified)

Laurie Jibben , APN

Nurse Practitioner - Family

NPI 1285629543

Advanced Practice Nurse

Dr. John Blair , MD

Family Medicine

NPI 1346205325

Doctor of Medicine (M.D.)

Samantha Karmas

Nurse Practitioner - Family

NPI 1487367694

Matthew Moses , APRN

Nurse Practitioner - Family

NPI 1720396674

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2015

Registered at 1200 N ONE MILE RD, DEXTER, MO 638411000 (Tel: 5736247575)

📍

Updated Business Mailing Address October 07, 2015

Registered at 3100 OAK GROVE RD, POPLAR BLUFF, MO 639011908 (Tel: 5736243600)

👤

Provider Name / Credentials Updated October 07, 2015

Recorded as CORY BLOCKER, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Nurse Practitioner (License #148700 in MO)

🟢

Initial NPI Registration & Enumeration July 24, 2007

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: 1396945663

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 24, 2007

Last Update: October 07, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3100 Oak Grove Rd

Poplar Bluff, MO 639011908

Phone: 5736243600

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.