JESSICA BLACKWILL APRN
NPI 1114584802
Nurse Practitioner - Family in Kingman, KS
About Jessica Blackwill Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA BLACKWILL APRN (NPI 1114584802) is an individual family provider in Kingman, Kansas, licensed in Kansas (53-78792-101) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Kingman Healthcare Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Jessica Blackwill Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Blackwill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingman, KS 67068
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1285629956 (Kansas)
- 41 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.
Kingman Healthcare Center
Critical Access Hospitals · Kingman, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGMAN, KS 67068
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 Jessica Blackwill's NPI number?
The NPI number for Jessica Blackwill is 1114584802. It was assigned to this individual provider in the NPPES registry on May 29, 2019.
Where is Jessica Blackwill located?
Jessica Blackwill practices at 750 W D Ave, Kingman, KS 67068. The listed phone number is (620) 532-0295.
What is Jessica Blackwill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Blackwill enrolled in Medicare?
Yes. Jessica Blackwill 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 organization bills Medicare for Jessica Blackwill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Blackwill reassigns Medicare benefits to Ninnescah Valley Health Systems Inc (Kingman, KS). The 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 Jessica Blackwill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Blackwill accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Jessica Blackwill 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 Jessica Blackwill affiliated with any hospitals?
According to CMS data, Jessica Blackwill is affiliated with Kingman Healthcare Center.
When was this NPI record last updated?
The NPPES record for Jessica Blackwill was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jessica Blackwill, APRN · NPI 1114584802
Family physician in Kingman, Kansas. Individual provider, active in the CMS NPPES registry since May 29, 2019.
## Identity
- **NPI:** 1114584802 (Entity type: Individual)
- **Enumerated:** May 29, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-78792-101 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 W D AVE, Kingman, KS 67068-1266
- **Phone:** (620) 532-0295 · **Fax:** (855) 483-0002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ninnescah Valley Health Systems Inc (NPI 1508253501, Kingman, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 3, 2025
- **Other identifiers:** Medicaid 30003916630006 (KS); Medicaid 201243020A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1114584802) · Data from the CMS NPPES public registry.