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

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
912 PINE ST, MOUNT SHASTA, CA 96067(205) 603-8010 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2026, Nov 8, 2024, Sep 6, 2023 and 1 more (4 updates tracked since 2020).

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, is affiliated with Vernon Memorial Hospital, 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
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

Accepted Insurance

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joshua Blackwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
912 PINE ST
Mount Shasta, CA 96067
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
Rural Health
407 S MAIN ST, SUITE 400
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1497750921 (Wisconsin)
  • 49 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Vernon Memorial Hospital

Critical Access Hospitals · Viroqua, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521348
Location507 South Main StViroqua, WI 54665 · Vernon County
Emergency services

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.

Other Providers at the Same Location NPPES 10

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

Family Medicine
912 PINE ST
MOUNT SHASTA, CA 96067
Physician Assistant
912 PINE ST
MOUNT SHASTA, CA 96067
Clinic/Center (Rural Health)
912 PINE ST
MOUNT SHASTA, CA 96067
Pediatrics
912 PINE ST
MOUNT SHASTA, CA 96067
Clinic/Center (Rural Health)
912 PINE ST
MOUNT SHASTA, CA 96067
Obstetrics & Gynecology
912 PINE ST
MOUNT SHASTA, CA 96067
Clinic/Center (Rural Health)
912 PINE ST
MOUNT SHASTA, CA 96067
Surgery
912 PINE ST
MOUNT SHASTA, CA 96067

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 Joshua Blackwell's NPI number?

The NPI number for Joshua Blackwell is 1093334567. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Joshua Blackwell located?

Joshua Blackwell practices at 912 Pine St, Mount Shasta, CA 96067. The listed phone number is (205) 603-8010.

What is Joshua Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Blackwell enrolled in Medicare?

Yes. Joshua 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.

Which organizations bill Medicare for Joshua Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Blackwell reassigns Medicare benefits to 3 organizations: Dignity Health (Mount Shasta, CA), Concord Medical Group Of Texas PLLC (Lubbock, TX) and Vernon Memorial Healthcare, Inc (Viroqua, WI). 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 Joshua Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Blackwell accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz and Security Health Plan list Joshua Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joshua Blackwell affiliated with any hospitals?

According to CMS data, Joshua Blackwell is affiliated with Vernon Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Blackwell was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.