Individual provider Active NPI

Karmen K Blackstone, A.N.P.

  • Adult Health Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1962471888
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R043926 Issued in ME
Practice address
14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone
(207) 442-0325
Fax
(207) 443-4578
NPI assigned
Mar 14, 2006
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R043926 ME Primary

Addresses

Primary practice location

14 Thomas Point Rd
Brunswick, ME 04011-3911

Mailing address

14 Thomas Point Rd Ste 102
Brunswick, ME 04011-3911
Phone (207) 442-0325

Other identifiers 1

IdentifierTypeStateIssuer
2676600MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20060208000584 ME Practitioner - Nurse Practitioner 1254346638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (207) 442-0325

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R043926MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedics & Sports Medicine,P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karmen.blackstone.1@3608.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1962471888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD STE 102",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911",
            "telephone_number": "207-442-0325",
            "fax_number": "207-443-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911",
            "telephone_number": "207-442-0325",
            "fax_number": "207-443-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "KARMEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "R043926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2676600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.