MS. MADELINE WOOTEN BLACKWELL PA-C
NPI 1053046946
Physician Assistant - Surgical in Paducah, KY

Active since July 23, 2022PECOS EnrolledAccepts Medicare Assignment
2601 KENTUCKY AVE STE 201, PADUCAH, KY 42003(270) 538-9555(270) 538-9554 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Oct 23, 2023, Oct 9, 2023 and 2 more (5 updates tracked since 2022).

About Ms. Madeline Wooten Blackwell Pa-c NPPES

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

MS. MADELINE WOOTEN BLACKWELL PA-C (NPI 1053046946) is an individual surgical provider in Paducah, Kentucky and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1053046946
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MADELINE WOOTEN BLACKWELLCredential: PA-C
Location Address2601 KENTUCKY AVE STE 201Paducah, KY 42003-3825
Mailing Address345 Odessa WayPaducah, KY 42001-8305 · (270) 816-4062
Fax(270) 538-9554
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2022
Last NPPES UpdateJanuary 12, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1053046946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2601 KENTUCKY AVE STE 201, Paducah, KY 42003

Secondary Practice Location 1

Location 1333 Murfreesboro Pike, Trevecca PA ProgramNashville, TN 37210 · Phone (615) 248-1225

Other Identifiers 1

Medicaid7100933030KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Madeline Wooten Blackwell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557717832
PECOS Enrollment IDI20231023001858
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services82 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Surgery
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003
Surgery
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003
Nurse Practitioner (Gerontology)
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003
Otolaryngology
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Blackwell's NPI number?

The NPI number for Madeline Blackwell is 1053046946. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Madeline Blackwell located?

Madeline Blackwell practices at 2601 Kentucky Ave Ste 201, Paducah, KY 42003. The listed phone number is (270) 538-9555.

What is Madeline Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Madeline Blackwell enrolled in Medicare?

Yes. Madeline Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Madeline Blackwell affiliated with any hospitals?

According to CMS data, Madeline Blackwell is affiliated with Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Madeline Blackwell was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.