DR. HEATHER MCCOY BLACKISTON DC
NPI 1619926623
Chiropractor in North East, MD

Active since May 08, 2006
2316 PULASKI HWY STE B, NORTH EAST, MD 21901(410) 642-9110(410) 642-9113 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About Dr. Heather Mccoy Blackiston Dc NPPES

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

DR. HEATHER MCCOY BLACKISTON DC (NPI 1619926623) is an individual chiropractor in North East, Maryland, licensed in Maryland (02079) and active in the NPI registry since May 2006. She maintains a secondary practice location in North East and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619926623
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. HEATHER MCCOY BLACKISTONCredential: DC
Location Address2316 PULASKI HWY STE BNorth East, MD 21901-3730
Mailing Address2316 Pulaski Hwy Ste BNorth East, MD 21901-3730 · (410) 642-9110 · Fax (410) 642-9113
Fax(410) 642-9113
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1619926623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MD · 02079
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2316 PULASKI HWY STE B, North East, MD 21901

Other Names 1

Former Name (1)Heather E Mccoy D.c.

Secondary Practice Location 1

Location 12057 Pulaski Hwy Ste 4North East, MD 21901-3744 · Phone (410) 642-9110 · Fax (410) 642-9113

Other Identifiers 2

Other2912304Aetna Ins
Other61670301Carefirst Bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather Mccoy Blackiston Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335224138
PECOS Enrollment IDI20101026000965

Medicare Billing Reassignment

Medicare enrollment records show Heather Blackiston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
2316 PULASKI HWY STE B
North East, MD 21901
  • Reassigned Medicare billing, Maryland enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
306 services42 patients

Other Providers at the Same Location NPPES

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

Chiropractor
2316 PULASKI HWY STE B
NORTH EAST, MD 21901

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 Heather Blackiston's NPI number?

The NPI number for Heather Blackiston is 1619926623. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Heather E Mccoy D.C..

Where is Heather Blackiston located?

Heather Blackiston practices at 2316 Pulaski Hwy Ste B, North East, MD 21901. The listed phone number is (410) 642-9110.

What is Heather Blackiston's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Heather Blackiston enrolled in Medicare?

Yes. Heather Blackiston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Blackiston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Blackiston reassigns Medicare benefits to North East Chiropractic PA (North East, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Blackiston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Blackiston was last updated on August 3, 2021. 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.