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

Michelle Lee Blackburn, FNP

Individual provider Family Nurse Practitioner · NPI 1265172779

Michelle Lee Blackburn, FNP is a Nurse Practitioner in Lakeway, Texas. Qualified in 2021, 5 years ago. Practices with South Austin Family Practice Clinic, PLLC, a 64-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

101 Medical Pkwy Ste 210
Lakeway, TX 78738-5647
Phone: (512) 814-1984
Fax: (855) 270-9668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12600 Hill Country Blvd Bldg R-103, Austin, TX 78738-6891 — (512) 358-8180

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1029771 (TX)

Record details

NPI number1265172779
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Austin Family Practice Clinic, Pllc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeway