Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAKE ANDREW NIZINSKI PA-C
NPI 1255267548
Physician Assistant in Fort Campbell, KY

Active since June 23, 2026
5662 SCREAMING EAGLE BLVD, FORT CAMPBELL, KY 42223(270) 798-7111 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blake Andrew Nizinski Pa-c NPPES

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

BLAKE ANDREW NIZINSKI PA-C (NPI 1255267548) is an individual physician assistant in Fort Campbell, Kentucky and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1255267548
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE ANDREW NIZINSKICredential: PA-C
Location Address5662 SCREAMING EAGLE BLVDFort Campbell, KY 42223-5403
Mailing Address23 Cameltown Hill RdDanville, PA 17821-9589 · (570) 492-2672
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 8, 2026
NPI 1255267548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5662 SCREAMING EAGLE BLVD, Fort Campbell, KY 42223

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 Blake Nizinski's NPI number?

The NPI number for Blake Nizinski is 1255267548. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Blake Nizinski located?

Blake Nizinski practices at 5662 Screaming Eagle Blvd, Fort Campbell, KY 42223. The listed phone number is (270) 798-7111.

What is Blake Nizinski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blake Nizinski was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.