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 last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant

About BLAKE NIZINSKI

This page provides the complete NPI Profile along with additional information for Blake Nizinski, a primary care provider established in Fort Campbell, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1255267548 assigned on June 2026. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated June 2026.

NPI
1255267548 Verify this NPI
Provider Name
BLAKE ANDREW NIZINSKI PA-C
Gender
Male
Entity Type
Individual
Location Address
5662 SCREAMING EAGLE BLVD FORT CAMPBELL, KY 42223
Location Phone
(270) 798-7111
Mailing Address
23 CAMELTOWN HILL RD DANVILLE, PA 17821
Mailing Phone
(570) 492-2672
Is Sole Proprietor?
No
Enumeration Date
06-23-2026
Last Update Date
06-23-2026
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A primary care provider (PCP) like Blake Nizinski sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255267548, enumerated as an "individual" on June 23, 2026.

The provider is located at 5662 SCREAMING EAGLE BLVD FORT CAMPBELL, KY 42223 and the phone number is (270) 798-7111.

Physician Assistant with taxonomy code 363A00000X.