Mary Zoe Blackburn, RN, CNS-MS-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP111190 Issued in TX

Practice address

351 Cypress Creek Rd
Suite 201
Cedar Park, TX 78613-4528

Phone

(512) 416-7246

Fax

(512) 275-2833

NPI assigned

Jul 18, 2008

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Aco Jason Martin Medical ConsultingGroup PAC ID 6103327358, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
• Georgetown Living Home Health & Companions Home health agency, Georgetown, TX, CCN 747887

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Aco Jason Martin Medical Consulting

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1881578961

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Jason Martin Medical Consulting LLC

  • General Practice Physician
  • Austin, TX
  • NPI 1851736243
  Medicare reassignment Care Compare group NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678

  Nurse Practitioner

  Medicare reassignment NPD
• Scott & White Clinic

  dba Baylor Scott & White Clinic - Temple

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1093779704
  Medicare reassignment NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1649820796
  NPD
• Scott and White Clinic

  • Radiation Oncology Physician
  • Waxahachie, TX
  • NPI 1821475153
  NPD
• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Halcyon Home, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1003185059
  Care Compare affiliation
• Second Gen Ventures Incorporated

  dba Georgetown Living Home Health & Companions

  • Home Health Agency
  • Georgetown, TX
  • NPI 1912291683
  Care Compare affiliation

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1699930628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR STE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455278",
            "telephone_number": "512-416-7246",
            "fax_number": "512-275-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CYPRESS CREEK RD",
            "address_2": "SUITE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134528",
            "telephone_number": "512-416-7246",
            "fax_number": "512-275-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "MARY",
        "middle_name": "ZOE",
        "name_prefix": "Ms.",
        "credential": "RN, CNS-MS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP111190",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP111190",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "AP111190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207705904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207705903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Cedar Park)
• Kristin Birch, COTA
• Lynsey Dian Bizzell
• Alyssa Lea Black, COTA
• Presley Paige Black, LPC-A
• Lisa Victoria Blackwelder, RN
• Erin Blackwell, PHARMD
• Dustin Blair
• BLC Acupuncture & Integrative Medicine, PLLC
• Kenneth Bloodworth

• Nurse Practitioner in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.