Carly Blasingame, CPNP-PC
NPI 1104504984 · Primary Care Nurse Practitioner · Fort Worth, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carly Blasingame, CPNP-PC is a Primary Care Nurse Practitioner provider in Fort Worth, TX (NPI 1104504984).
Provider details
- NPI number
- 1104504984
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 1127441 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Carly Blasingame's NPI number?
- Carly Blasingame's National Provider Identifier (NPI) is 1104504984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Blasingame's specialty?
- Carly Blasingame is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carly Blasingame located?
- Carly Blasingame's practice location on file with NPPES is 1500 Cooper St, Fort Worth, TX 76104-2710.
- What is Carly Blasingame's phone number?
- The practice phone number listed in the NPPES registry for Carly Blasingame is (682) 885-2500.
- Does Carly Blasingame accept Medicare?
- Carly Blasingame is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carly Blasingame's NPI active?
- Yes — Carly Blasingame's NPI (1104504984) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.