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

Misty Blackburn, NP

Individual provider Family Nurse Practitioner · NPI 1770137044

Misty Blackburn, NP is a Nurse Practitioner in Columbus, Indiana. Qualified in 2018, 8 years ago. Practices with Columbus Regional Health Physicians, LLC, a 218-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2019
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

3015 10th St Ste A
Columbus, IN 47201-7091
Phone: (812) 372-8883
Fax: (812) 373-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009109A (IN)

Record details

NPI number1770137044
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing addressPo Box 775383, Chicago, IL 60677-5383

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Columbus Regional Health Physicians, Llc — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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