JESSICA BLACKWILL APRN
NPI 1114584802
Nurse Practitioner - Family in Kingman, KS

Q: 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.

Q: What is Jessica Blackwill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 11 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.

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment

750 W D AVE, KINGMAN, KS 67068(620) 532-0295(855) 483-0002 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Nov 8, 2022, Mar 22, 2021 and 3 more (6 updates tracked since 2019).

On this page

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

NPI1114584802

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA BLACKWILLCredential: APRN

Location Address750 W D AVEKingman, KS 67068-1266

Mailing Address750 W D AveKingman, KS 67068-1266 · (620) 532-0295 · Fax (855) 483-0002

Phone(620) 532-0295

Fax(855) 483-0002

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 29, 2019

Last NPPES UpdateSeptember 3, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1114584802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 53-78792-101

750 W D AVE, Kingman, KS 67068

Open in Google Maps ↗

Other Identifiers 2

Medicaid30003916630006KS

Medicaid201243020AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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

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.

PECOS PAC ID3577899616

PECOS Enrollment IDI20190726000236

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.

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, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171378

Location750 W Ave DKingman, KS 67068 · Kingman County

Emergency services

Physician 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.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers14 claims14 services$896.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHLEEN S PRILLIMAN A.R.N.P.

Nurse Practitioner

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-3147

DR. ROCHELLE DAWN HARDEN AU.D.

Audiologist

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 491-1521

KATHLEEN L SMITH ARNP

Nurse Practitioner (Family)

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

TYLER J ANTENEN P.A.-C

Physician Assistant

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

JOSEPH GERBER MD

Family Medicine

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

CHERIE LOUISE MORRIS MD

Family Medicine

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

DR. CHRISTOPHER HENRY SURTMAN DPM

Podiatrist

750 W D AVE
KINGMAN, KS 67068

Kingman County (405) 249-2351

NINNESCAH VALLEY HEALTH SYSTEMS, INC.

General Acute Care Hospital (Critical Access)

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-3147

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.

What insurance does Jessica Blackwill accept?

Health plans from 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 11 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.