MS. EBONEE MONIQUE BLACKWOOD NURSE PRACTITIONER
NPI 1083141626
Nurse Practitioner in Royal Palm Beach, FL

Q: What is Ebonee Blackwood's NPI number?

The NPI number for Ebonee Blackwood is 1083141626. It was assigned to this individual provider in the NPPES registry on May 14, 2017.

Q: What is Ebonee Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebonee Blackwood was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 14, 2017PECOS EnrolledAccepts Medicare Assignment

11301 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411(561) 283-0384 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 27, 2022, May 14, 2017 (2 updates tracked since 2017).

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About Ms. Ebonee Monique Blackwood Nurse Practitioner NPPES

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

MS. EBONEE MONIQUE BLACKWOOD NURSE PRACTITIONER (NPI 1083141626) is an individual nurse practitioner in Royal Palm Beach, Florida, licensed in Florida (ARNP9221157) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083141626

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. EBONEE MONIQUE BLACKWOODCredential: NURSE PRACTITIONER

Location Address11301 OKEECHOBEE BLVDRoyal Palm Beach, FL 33411-8719

Mailing Address11301 Okeechobee Blvd Ste 5aRoyal Palm Beach, FL 33411-8719 · (561) 729-5877

Phone(561) 283-0384

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 14, 2017

Last NPPES UpdateMay 27, 20222 updates tracked since enumeration

NPPES CertifiedMay 27, 2022

✔ NPI 1083141626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9221157

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9221157 (FL)

11301 OKEECHOBEE BLVD, Royal Palm Beach, FL 33411

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ebonee Monique Blackwood Nurse Practitioner 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 ID5193087393

PECOS Enrollment IDI20180328002304

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.

Medicare Billing Reassignments

Medicare enrollment records show Ebonee Blackwood reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

On-Site Wound Consultants P.A

16 mi

Specialist

1 COUNTRY RD E
Village Of Golf, FL 33436

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: On-Site Wound Consultants PA
7 clinicians in this Medicare group

NPI 1932518081 (561) 272-5007

E And A Medical On The Go Healthcare Of South Florida LLC

29 mi

Home Health

4745 NW 114TH DR
Coral Springs, FL 33076

Reassigned Medicare billing, Florida enrollment

NPI 1598375651 (561) 388-9337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

373 services116 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

99 services97 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

53 services51 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

36 services13 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33411 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

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 6

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

DR. SUNILA PANDIT M.D.

Internal Medicine (Nephrology)

11301 OKEECHOBEE BLVD, SUITE 5A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 283-0384

DR. MOHAN ABRAHAM MD

Internal Medicine (Nephrology)

11301 OKEECHOBEE BLVD, STE 5A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 283-0384

WESTERN COMMUNITY DIALYSIS CENTER LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

11301 OKEECHOBEE BLVD, SUITE 2A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 791-2252

KIDNEY SPECIALISTS OF THE PALM BEACHES LLC

Legal Medicine

11301 OKEECHOBEE BLVD, SUITE 5A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 283-0384

MANOJ BHATTARAI MD

Internal Medicine (Nephrology)

11301 OKEECHOBEE BLVD, SUITE 5A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 283-0384

KIDNEY SPECIALISTS OF THE PALM BEACHES

Internal Medicine (Nephrology)

11301 OKEECHOBEE BLVD, SUITE 5A
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 283-0384

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 Ebonee Blackwood's NPI number?

The NPI number for Ebonee Blackwood is 1083141626. It was assigned to this individual provider in the NPPES registry on May 14, 2017.

Where is Ebonee Blackwood located?

Ebonee Blackwood practices at 11301 Okeechobee Blvd, Royal Palm Beach, FL 33411. The listed phone number is (561) 283-0384.

What is Ebonee Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ebonee Blackwood enrolled in Medicare?

Yes. Ebonee Blackwood 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.

Which organizations bill Medicare for Ebonee Blackwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebonee Blackwood reassigns Medicare benefits to 2 organizations: On-Site Wound Consultants P.A (Village Of Golf, FL) and E And A Medical On The Go Healthcare Of South Florida LLC (Coral Springs, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebonee Blackwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ebonee Blackwood was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.