MR. MICHAEL BLACKWELL PA-C
NPI 1629054705
Physician Assistant in Atascadero, CA

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
9700 EL CAMINO REAL, SUITE 100, ATASCADERO, CA 93422(805) 461-9000(805) 461-9001 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michael Blackwell Pa-c NPPES

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

MR. MICHAEL BLACKWELL PA-C (NPI 1629054705) is an individual physician assistant in Atascadero, California, licensed in California (PA17331) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629054705
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL BLACKWELLCredential: PA-C
Location Address9700 EL CAMINO REAL, SUITE 100Atascadero, CA 93422
Mailing Address9700 El Camino Real, Suite 100Atascadero, CA 93422 · (805) 461-9000 · Fax (805) 461-9001
Fax(805) 461-9001
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 20, 2005
Last NPPES UpdateApril 23, 2009
NPI 1629054705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA17331
Definition

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.

9700 EL CAMINO REAL, Atascadero, CA 93422

Other Identifiers 3

MedicaidPA173310CA
Medicare ID-Type Unspecified00PA173310CA
Medicare UPINQ38605CA

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

Mr. Michael Blackwell Pa-c 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 ID446206551
PECOS Enrollment IDI20050322000853
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 13

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.

Established patient office or other outpatient visit, 20-29 minutes 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.
300 services247 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
165 services165 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.
66 services60 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
39 services24 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93422 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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 7

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

Physician Assistant (Medical)
9700 EL CAMINO REAL, SUITE 100
ATASCADERO, CA 93422
Psychologist (Clinical)
9700 EL CAMINO REAL, SUITE #303
ATASCADERO, CA 93422
Psychologist (Clinical)
9700 EL CAMINO REAL, 303
ATASCADERO, CA 93422
Nurse Practitioner (Family)
9700 EL CAMINO REAL, STE. 1200 WEST TOWER
ATASCADERO, CA 93422
Clinic/Center (Urgent Care)
9700 EL CAMINO REAL, SUITE 100
ATASCADERO, CA 93422
Family Medicine
9700 EL CAMINO REAL, SUITE 100
ATASCADERO, CA 93422
Family Medicine
9700 EL CAMINO REAL, SUITE 100
ATASCADERO, CA 93422

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 Michael Blackwell's NPI number?

The NPI number for Michael Blackwell is 1629054705. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Michael Blackwell located?

Michael Blackwell practices at 9700 El Camino Real Suite 100, Atascadero, CA 93422. The listed phone number is (805) 461-9000.

What is Michael Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Blackwell enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Blackwell was last updated on April 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.