KIMBERLY SUZZANE BLACKWELL PA-C
NPI 1013098342
Physician Assistant in Indianapolis, IN

Q: What is Kimberly Blackwell's NPI number?

The NPI number for Kimberly Blackwell is 1013098342. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Kimberly Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 17, 2006PECOS Enrolled

8326 NAAB RD, INDIANAPOLIS, IN 46260(317) 871-0000(317) 871-0010 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Suzzane Blackwell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUZZANE BLACKWELL PA-C (NPI 1013098342) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10000609A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013098342

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY SUZZANE BLACKWELLCredential: PA-C

Location Address8326 NAAB RDIndianapolis, IN 46260-1920

Mailing Address8326 Naab RdIndianapolis, IN 46260-1920 · (317) 871-0000 · Fax (317) 871-0010

Phone(317) 871-0000

Fax(317) 871-0010

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateSeptember 10, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1013098342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10000609A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8326 NAAB RD, Indianapolis, IN 46260

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Suzzane Blackwell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A CHIN NP

Nurse Practitioner