Gladys Blackburn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71010379A Issued in IN

Practice address

285 W 12TH St Ste 206
Peru, IN 46970-1654

Phone

(765) 472-5335

NPI assigned

Aug 24, 2020

Last updated

Feb 28, 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 2

Addresses

Other names 1

• Gladys Alalade Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318

Merit-based Incentive Payment System (MIPS)

Final score

90.99 of 100Reported as apm

Quality

77.41

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gladys.blackburn@lutheranhealthnetwork.cernerdirect.com

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.

• Meridian Health Services Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muncie, IN
  • NPI 1992755490
  Medicare reassignment Care Compare group NPD
• Meridian Health Services Corp.

  • Federally Qualified Health Center (FQHC)
  • Montpelier, IN
  • NPI 1417838574
  NPD

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

• Dukes Health System LLC

  dba Dukes Memorial Hospital

  • Critical Access Hospital
  • Peru, IN
  • NPI 1619920949
  Care Compare affiliation

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1861005589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST STE 206",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701654",
            "telephone_number": "765-472-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST STE 206",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701654",
            "telephone_number": "765-472-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Western Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466193570",
            "country_code": "US",
            "telephone_number": "574-234-9033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "GLADYS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28222639A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gladys.blackburn@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "285 W 12th St Ste 206",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "ALALADE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert N Becker, MA
• Blaire Kirsten Bell
• Kimberly Michelle Bellar, LCSW
• Marla Kay Berkshire, OTR
• Bio-Medical Applications of Indiana, Inc. (Fresenius Medical Care Peru)
• Blair Emergency Physicians
• Maren Blevins, LCSW
• Blue Sky Transportation, LLC
• Board of Trustees of Howard Community Hospital (Howard Regional Health System - Vahid-David Sedaghat, MD)
• Kaylee Bohn

• Family Nurse Practitioner in Peru, IN
• Providers in Peru, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.