Sheila Blalock, APN
NPI 1952625030 · Nurse Practitioner · Crossville, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheila Blalock, APN is a Nurse Practitioner provider in Crossville, TN (NPI 1952625030).
Provider details
- NPI number
- 1952625030
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 14809 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
742 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 417 | $99 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 177 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $70 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $98 |
| Automated Urinalysis Test81003 | 30 | $2 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 24 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 123 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 226 | 51 |
| Omeprazole | 210 | 53 |
| Lisinopril | 141 | 39 |
| Atorvastatin Calcium | 129 | 34 |
| Metformin Hcl | 119 | 26 |
| Pantoprazole Sodium | 113 | 29 |
| Azithromycin | 113 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,348 across 156 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 229 Interstate DrSuite 105Crossville, TN 38555-2709Phone: (931) 484-2220Fax: (931) 484-2225
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2019-04-02
Frequently asked questions
- What is Sheila Blalock's NPI number?
- Sheila Blalock's National Provider Identifier (NPI) is 1952625030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sheila Blalock's specialty?
- Sheila Blalock is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sheila Blalock located?
- Sheila Blalock's practice location on file with NPPES is 4147 Highway 127 N Ste 102, Crossville, TN 38571-7521.
- What is Sheila Blalock's phone number?
- The practice phone number listed in the NPPES registry for Sheila Blalock is (931) 484-2220.
- Does Sheila Blalock accept Medicare?
- Sheila Blalock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sheila Blalock's NPI active?
- Yes — Sheila Blalock's NPI (1952625030) is active in the NPPES registry as of the last update on 2019-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.