Ms. Wyvon Blackwell
MSN, APRN,FNP-C | Nurse Practitioner | 12+ years Exp
31 W 155th St, Harvey
Illinois, 60426
708-596-5177
Ms. Wyvon Blackwell is a Harvey, Illinois based nurse practitioner with 12 years of experience in Nurse Practitioner. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Wyvon Blackwell is 209011447 for Family in Illinois. Her current practice location is 31 W 155th St, Harvey. Patients can reach her at 708-596-5177 or can fax her at 708-596-5518. Ms. Wyvon Blackwell is MSN, APRN,FNP-C with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1821398397.
Ms. Wyvon Blackwell has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Wyvon Blackwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Wyvon Blackwell |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | MSN, APRN,FNP-C |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 31 W 155th St, Harvey,
Illinois, 60426 |
| Phone: | 708-596-5177 |
| Fax: | 708-596-5518 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8123340403 |
| Enrollment ID: | I20141124001757 |
| NPI Number: | 1821398397 |
| NPI Enumeration Date: | 29 Oct, 2010 |
| NPI Last Update On: | 05 Nov, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Wyvon Blackwell are as mentioned below.
| License Number | Specialization | State | Status | |
| 209011447 | Family | Illinois | Primary | |
| 28180607A | Case Manager/Care Coordinator | Indiana | Secondary | |
| F0214515 | Family | Illinois | Secondary | |
| 309007962 | Family | Illinois | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140103) | Chicago, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Wyvon Blackwell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Foundation For Outreach Services (3375507163) | 21 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Wyvon Blackwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 209011447 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Wyvon Blackwell
31 W 155th St,
Harvey, Illinois |
| Zip: | 60426-3556 |
| Phone Number: | 708-596-5177 |
| Fax Number: | 708-596-5518 |
Patients can reach Ms. Wyvon Blackwell at
31 W 155th St, Harvey, Illinois or can
call to book an appointment on 708-596-5177.
Comments/ Reviews:
Patients can read all the reviews posted for Ms. Wyvon Blackwell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Wyvon Blackwell. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.