JOSHUA AARON BLACKWELL MD, MSPH - NPI 1093334567 - Family Medicine in Mount Shasta, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Joshua Aaron Blackwell Md, Msph NPPES

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

JOSHUA AARON BLACKWELL MD, MSPH (NPI 1093334567) is an individual family medicine provider in Mount Shasta, California, licensed in California (A206348) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2020).

NPPES Registry Identity

NPI1093334567

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSHUA AARON BLACKWELLCredential: MD, MSPH

Location Address912 PINE STMount Shasta, CA 96067-2143

Mailing Address3719 E Elmwood DrWichita, KS 67218-4824 · (205) 603-8010

Phone(205) 603-8010

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2020

Enumeration DateApril 14, 2020

Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1093334567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A206348✔ Licensed in WI · 14283-320✔ Licensed in KS · 04-49978✔ Licensed in AL · 52272✔ Licensed in IA · MD-55925✔ Licensed in TX · T7872

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

912 PINE ST, Mount Shasta, CA 96067

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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

Joshua Aaron Blackwell Md, Msph 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 ID6002267556

PECOS Enrollment IDI20260518003634

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 96067 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.