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

Racheal Lucretia Blakney, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669108007

Racheal Lucretia Blakney, PMHNP-BC is a Nurse Practitioner in Neenah, Wisconsin. Qualified in 2022, 4 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Wisconsin.

Years since qualifying
4
Licensed in
NC, WI
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

130 2nd St
Neenah, WI 54956-2883
Phone: (920) 720-2300
Fax: (920) 720-3719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1337 E Garrison Blvd, Gastonia, NC 28054-5127 — (704) 865-3848

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 17360 (WI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5016586 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 17360 (WI)

Record details

NPI number1669108007
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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