Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gladys Blackburn, NP

Individual provider Registered Nurse · NPI 1861005589

Gladys Blackburn, NP is a Nurse Practitioner in Peru, Indiana. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with Meridian Health Services Corp, a 80-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

285 W 12th St Ste 206
Peru, IN 46970-1654
Phone: (765) 472-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 W Western Ave Ste B, South Bend, IN 46619-3570 — (574) 234-9033

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71010379A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28222639A (IN)

Record details

NPI number1861005589
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address285 W 12th St Ste 206, Peru, IN 46970-1654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Meridian Health Services Corp — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peru