KELLY BLACKSHER
NPI 1083425466
Student in an Organized Health Care Education/Training Program in Mobile, AL

Active since January 15, 2025PECOS Enrolled
307 N UNIVERSITY BLVD MOBILE AL 36688, MOBILE, AL 36688(251) 341-3030 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Blacksher NPPES

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

KELLY BLACKSHER (NPI 1083425466) is an individual student in an organized health care education/training program in Mobile, Alabama and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083425466
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY BLACKSHER
Location Address307 N UNIVERSITY BLVD MOBILE AL 36688Mobile, AL 36688-0001
Mailing Address2451 University Hospital DrMobile, AL 36617-2300 · (251) 471-7000 · Fax (251) 471-7096
Sole ProprietorNo
Enumeration DateJanuary 15, 2025
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
NPI 1083425466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

307 N UNIVERSITY BLVD MOBILE AL 36688, Mobile, AL 36688

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Blacksher 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.

Other Providers at the Same Location NPPES 12

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

Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Nurse Practitioner
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD MOBILE AL 36688
MOBILE, AL 36688

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 Kelly Blacksher's NPI number?

The NPI number for Kelly Blacksher is 1083425466. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Where is Kelly Blacksher located?

Kelly Blacksher practices at 307 N University Blvd Mobile Al 36688, Mobile, AL 36688. The listed phone number is (251) 341-3030.

What is Kelly Blacksher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Blacksher enrolled in Medicare?

Yes. Kelly Blacksher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Blacksher was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.