Patricia Louise Blackledge, ARNP MS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A097156 Issued in IA

Practice address

1015 N 18TH St
Centerville, IA 52544-1170

Phone

(641) 684-6896

Fax

(641) 226-5759

NPI assigned

Aug 31, 2005

Last updated

Dec 29, 2023By 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

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Davis County Hospital

  • Specialist
  • Bloomfield, IA
  • NPI 1487740486
  Medicare reassignment NPD
• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242

  Nurse Practitioner

  Medicare reassignment NPD
• The Iowa Clinic PC

  dba The Iowa Clinic

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295

  IA

  Medicare reassignment NPD
• Davis County Hospital

  dba Davis County Medical Associates

  • Rural Health Clinic/Center
  • Bloomfield, IA
  • NPI 1821413667
  NPD
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Dallas County Hospital

  • Emergency Medicine Physician
  • Perry, IA
  • NPI 1861416307
  NPD (past)
• Ottumwa Regional Health Center Inc

  dba Ottumwa Regional Home Care

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1750383055
  NPD (past)
• RCHP Ottumwa LLC

  dba ORHC Clinics

  • Multi-Specialty Clinic/Center
  • Ottumwa, IA
  • NPI 1548588171
  NPD (past)
• River Hills Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Centerville, IA
  • NPI 1447597844
  NPD (past)
• River Hills Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Ottumwa, IA
  • NPI 1912952367
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1871586271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525010458",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441170",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 University Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502667756",
            "country_code": "US",
            "telephone_number": "515-875-9070",
            "fax_number": "515-875-9071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKLEDGE",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "ARNP MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "097156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A097156",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A097156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Barton, MD
• Narendra K. Batra, M.D.
• Rajni Batra
• Carol Belloma, ARNP
• Douglas Billingsley, LISW
• Janette Ruth Boggs
• Mary E Booth, DNP
• Rebecca Gail Bowen, FNP
• Patrick Bredar, P.A.
• Kieron James Broderick, RN, ACNP

• Nurse Practitioner in Centerville, IA
• Providers in Centerville, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.