Jessica Ann Blandford
Individual provider Active NPI Family Nurse Practitioner · Newburgh, IN
NPI 1760135669 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1760135669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71012193A (IN)
- Practice address
- 4944 State Route 261 Ste 5
Newburgh, IN 47630-3801 - Phone
- (930) 204-2225
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220316000596 | IN | Practitioner - Nurse Practitioner | 9739574435 | Reassigns benefits to 1 organization |
| I20220706003576 | KY | Practitioner - Nurse Practitioner | 9739574435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012193A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Centers of America, PSC | Family | Current |
Accepting new patients |
Locations
1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207
200 Clinic Dr
Fl 3
Madisonville, KY 42431
Phone (270) 825-7214
3332 Villa Pt
Ste 104
Owensboro, KY 42303
Phone (270) 594-4892
67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012193A | IN | Yes |
Addresses
Primary practice location
4944 State Route 261 Ste 5
Newburgh, IN 47630-3801
Mailing address
4944 State Route 261 Ste 5
Newburgh, IN 47630-3801
Phone (930) 204-2225
Other providers in Newburgh, IN
- Austyn Nicole Black
- Kylie Black
- Connie Faye Blackford
- Elizabeth Blackford
- Anna Nicole Blalock
- Nathan Thomas Blandford
- Megan Marie Blankenberger
- Miranda E Blevins
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
All providers in Newburgh, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.