SHAWNA C BLACKMON PA
NPI 1487641536
Physician Assistant in Nacogdoches, TX
About Shawna C Blackmon Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNA C BLACKMON PA (NPI 1487641536) is an individual physician assistant in Nacogdoches, Texas, licensed in Texas (PA04131) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Nacogdoches Memorial Hospital, and maintains a secondary practice location in Tyler.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 7
Accepted 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
Shawna C Blackmon 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nacogdoches Memorial Hospital
Acute Care Hospitals · Nacogdoches, TXNacogdoches Medical Center
Acute Care Hospitals · Nacogdoches, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75965 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shawna Blackmon's NPI number?
The NPI number for Shawna Blackmon is 1487641536. It was assigned to this individual provider in the NPPES registry on October 4, 2005. The provider is also known as Shawna C Russell PA.
Where is Shawna Blackmon located?
Shawna Blackmon practices at 3816 N University Dr, Nacogdoches, TX 75965. The listed phone number is (903) 939-7500.
What is Shawna Blackmon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Shawna Blackmon enrolled in Medicare?
Yes. Shawna Blackmon 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 Shawna Blackmon accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Shawna Blackmon 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 Shawna Blackmon affiliated with any hospitals?
According to CMS data, Shawna Blackmon is affiliated with Nacogdoches Memorial Hospital and Nacogdoches Medical Center.
When was this NPI record last updated?
The NPPES record for Shawna Blackmon was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shawna C Blackmon, PA · NPI 1487641536
Physician Assistant physician in Nacogdoches, Texas. Individual provider, active in the CMS NPPES registry since October 4, 2005.
## Identity
- **NPI:** 1487641536 (Entity type: Individual)
- **Enumerated:** October 4, 2005
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA04131 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3816 N UNIVERSITY DR, Nacogdoches, TX 75965-2011
- **Phone:** (903) 939-7500 · **Fax:** (903) 939-7728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 24, 2022
- **Other identifiers:** Medicaid 206265504 (TX); Other 8Y8693 (TX); Medicaid 206265501 (TX); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1487641536) · Data from the CMS NPPES public registry.