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MRS. BONNIE LYNN BLACKBURN PA
NPI 1386270908
Physician Assistant - Medical in Buckhannon, WV

Active since March 15, 2020PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10 AMALIA DR STE C5, BUCKHANNON, WV 26201(304) 460-7948(304) 460-7908 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2020, Mar 15, 2020 (2 updates tracked since 2020).

About Mrs. Bonnie Lynn Blackburn Pa NPPES

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

MRS. BONNIE LYNN BLACKBURN PA (NPI 1386270908) is an individual medical provider in Buckhannon, West Virginia, licensed in West Virginia (2411) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Suffolk.

NPPES Registry Identity

NPI1386270908
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. BONNIE LYNN BLACKBURNCredential: PA
Location Address10 AMALIA DR STE C5Buckhannon, WV 26201-2270
Mailing Address1 Amalia DrBuckhannon, WV 26201-2239 · (304) 473-2000
Phone(304) 460-7948
Fax(304) 460-7908
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2020
Enumeration DateMarch 15, 2020
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1386270908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WV · 2411
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10 AMALIA DR STE C5, Buckhannon, WV 26201
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Greenway RdSuffolk, VA 23438-9808 · Phone (757) 328-1586

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mrs. Bonnie Lynn Blackburn Pa 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 ID8628496783
PECOS Enrollment IDI20200922001930
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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 Bonnie Blackburn's NPI number?

The NPI number for Bonnie Blackburn is 1386270908. It was assigned to this individual provider in the NPPES registry on March 15, 2020.

Where is Bonnie Blackburn located?

Bonnie Blackburn practices at 10 Amalia Dr Ste C5, Buckhannon, WV 26201. The listed phone number is (304) 460-7948.

What is Bonnie Blackburn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bonnie Blackburn enrolled in Medicare?

Yes. Bonnie Blackburn 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 Bonnie Blackburn accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Bonnie Blackburn 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 Bonnie Blackburn affiliated with any hospitals?

According to CMS data, Bonnie Blackburn is affiliated with West Virginia University Hospitals, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Bonnie Blackburn was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.