Individual provider Active NPI

Rebecca Blackwell, APRN, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1326607839
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141812 Issued in TX
Practice address
2250 Double Creek Dr Unit 7684
Round Rock, TX 78683-0110
Phone
(512) 676-8537
NPI assigned
Jun 8, 2019
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30392 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0004260-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020021 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 867675 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 118584 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78552 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141812 TX Primary

Addresses

Primary practice location

2250 Double Creek Dr Unit 7684
Round Rock, TX 78683-0110

Mailing address

PO Box 7684
Round Rock, TX 78683-7684
Phone (512) 676-8537

Other practice location 1

1250 E Baseline Rd Ste 103
Tempe, AZ 85283-1439
Phone (512) 676-8537

Other practice location 2

9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045
Phone (512) 676-8537

Other practice location 3

5335 W 48th Ave Ste 500
Denver, CO 80212-2732
Phone (512) 676-8537

Other names 1

  • Miss Rebecca Ruth Norton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, NC, WV, ID, CO6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20200305000094 TX Practitioner - Nurse Practitioner 9638506553 Reassigns benefits to 1 organization
I20230331001082 FL Practitioner - Nurse Practitioner 9638506553 Reassigns benefits to 1 organization
I20240325002334 NC Practitioner - Nurse Practitioner 9638506553 Reassigns benefits to 1 organization
I20240402000135 WV Practitioner - Nurse Practitioner 9638506553 Reassigns benefits to 1 organization
I20240506004292 ID Practitioner - Nurse Practitioner 9638506553 Reassigns benefits to 1 organization
I20240918001677 CO Practitioner - Nurse Practitioner 9638506553

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30392TXMDFamily Nurse Practitioner
C-APN.0004260-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
867675NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Mar 18, 2024 Accepting new patients
Dell Children's Medical Group CurrentSince Jan 12, 2020 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Mar 18, 2024 Accepting new patients
Dell Children's Medical Group CurrentSince Jan 12, 2020 Accepting new patients
Brynn Marr Hospital Inc CurrentSince Apr 6, 2024 Accepting new patients
Forefront Telecare Medical Services PC CurrentSince May 13, 2024 Accepting new patients
Journey Health & Wellness LLC Family CurrentSince Jul 22, 2025 Accepting new patients
Truenorth Psychiatric LLC Family CurrentSince Dec 28, 2025 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

1250 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 305-3160

5335 W 48th Ave
Ste 500
Denver, CO 80212
Phone (303) 549-6342

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

3500 Quakerbridge Rd
#105
Trenton, NJ 08619

9550 S Eastern Ave
Ste 220
Las Vegas, NV 89123
Phone (702) 494-8085

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975

2250 Double Creek Dr
Unit 7684
Round Rock, TX 78683
Phone (512) 676-8537

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

128 Capitol St
Charleston, WV 25301
Phone (844) 932-5700

Interoperability endpoints

  • Direct secure messaging: rebecca.blackwell.5@32055.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1326607839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7684",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786837684",
            "telephone_number": "512-676-8537",
            "fax_number": "833-973-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 DOUBLE CREEK DR UNIT 7684",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786830110",
            "telephone_number": "512-676-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Baseline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831439",
            "country_code": "US",
            "telephone_number": "512-676-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 S Eastern Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891238045",
            "country_code": "US",
            "telephone_number": "512-676-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5335 W 48th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802122732",
            "country_code": "US",
            "telephone_number": "512-676-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "30392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0004260-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020021",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "867675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "118584",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "78552",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "NORTON",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.