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DR. STACI BLACKWELL AU.D.
NPI 1356516033
Audiologist in Charlotte, NC

Active since April 24, 2008Accepts Medicare Assignment
125 BALDWIN AVE STE 100, CHARLOTTE, NC 28204(704) 316-1900(704) 384-5453 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2020, Dec 10, 2019, Dec 8, 2015 (3 updates tracked since 2015).

About Dr. Staci Blackwell Au.d. NPPES

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

DR. STACI BLACKWELL AU.D. (NPI 1356516033) is an individual audiologist in Charlotte, North Carolina, licensed in North Carolina (7282) and active in the NPI registry since April 2008. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1356516033
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. STACI BLACKWELLCredential: AU.D.
Location Address125 BALDWIN AVE STE 100Charlotte, NC 28204-3370
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 316-1900
Fax(704) 384-5453
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 24, 2008
Last NPPES UpdateOctober 25, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2020
✔ NPI 1356516033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NC · 7282
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 1166 (NC)
125 BALDWIN AVE STE 100, Charlotte, NC 28204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Staci Blackwell Au.d. 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 ID8628144128
PECOS Enrollment IDI20080908000201

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$54.12 typical visit price
range $54.12 – $165.09
Typical copayment $13.53 (range $13.53 – $41.27)
Most-billed visit code 99202
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 3

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

CARI ANN EL SHESHAI AU.D.
Audiologist
125 BALDWIN AVE STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-1900
MRS. BRIANNE MARIE KURCSAK MS, OTR/L
Occupational Therapist (Pediatrics)
125 BALDWIN AVE STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-1900
GRETCHEN PLATT-KOCH PT, DPT
Physical Therapist
125 BALDWIN AVE STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-1928

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 Staci Blackwell's NPI number?

The NPI number for Staci Blackwell is 1356516033. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Staci Blackwell located?

Staci Blackwell practices at 125 Baldwin Ave Ste 100, Charlotte, NC 28204. The listed phone number is (704) 316-1900.

What is Staci Blackwell's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Staci Blackwell enrolled in Medicare?

Yes. Staci 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.

What insurance does Staci Blackwell accept?

Health plans from Blue Cross and Blue Shield of NC list Staci 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.

When was this NPI record last updated?

The NPPES record for Staci Blackwell was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.