IndividualActive
Cory Blocker, PNP
NPI 1396945663 · Pediatric Nurse Practitioner · Dexter, MO
Provider details
- NPI number
- 1396945663
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Male
- Sole proprietor
- No
- License
- 148700 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1200 N One Mile Rd
Dexter, MO 63841-1000
Phone: (573) 624-7575
Street-level locationGet directions
Mailing address
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1908
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2015-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.