Jeannie Ann Blackburn, ACNP

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

AP120132 Issued in TX

Practice address

500 N Kobayashi Ste C
Webster, TX 77598-4722

Phone

(281) 936-9336

NPI assigned

Mar 22, 2011

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webster Rehabilitation Specialists LLCGroup PAC ID 7315201910, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

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.

• Webster Rehabilitation Specialists LLC

  • Physical Medicine & Rehabilitation Physician
  • Webster, TX
  • NPI 1063917268
  Medicare reassignment Care Compare group NPD
• CLS Health PLLC

  dba CLS Health

  • Pulmonary Disease Physician
  • Webster, TX
  • NPI 1750305355
  Medicare reassignment NPD
• Ipc Healthcare Services of Texas, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1023403011
  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD
• CLS Health PLLC

  • Durable Medical Equipment & Medical Supplies
  • Webster, TX
  • NPI 1699682054
  NPD (past)

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

• Chca Clear Lake LP

  dba HCA Houston Healthcare Clear Lake

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  dba University of Texas Medical Branch

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988
  Care Compare affiliation

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1700185378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58662",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KOBAYASHI STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984722",
            "telephone_number": "281-936-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Post Oak Place Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273164",
            "country_code": "US",
            "telephone_number": "713-960-8008",
            "fax_number": "713-960-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kobayashi Ste 110",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-338-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "JEANNIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP120132",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "665439",
            "primary": false
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "TX",
            "license": "665439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Texas Avenue)
• Neal S Birak, PT
• Quayla Marie Bird, TECHNICIAN
• Amira Bitar
• James Allen Blackburn, PA-C
• Michele M Blackwell, MD
• Nicole Blatt
• Erin Blazek
• Bluesprig
• Deborah Millicent Boateng

• Clinical Nurse Specialist in Webster, TX
• Providers in Webster, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.