DR. KISSI ROSABEL BLACKWELL M.D.
NPI 1629233770
Family Medicine in Wichita Falls, TX

Active since July 28, 2008Opted out of Medicare · through Jul 1, 2027
4610 KELL BLVD, WICHITA FALLS, TX 76310(940) 441-2273(844) 299-0602 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2021, Jan 15, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Kissi Rosabel Blackwell M.d. NPPES

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

DR. KISSI ROSABEL BLACKWELL M.D. (NPI 1629233770) is an individual family medicine provider in Wichita Falls, Texas, licensed in Texas (N1556) and active in the NPI registry since July 2008. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629233770
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KISSI ROSABEL BLACKWELLCredential: M.D.
Location Address4610 KELL BLVDWichita Falls, TX 76310-1466
Mailing Address4610 Kell BlvdWichita Falls, TX 76310-1466 · (940) 441-2273 · Fax (844) 299-0602
Fax(844) 299-0602
Sole ProprietorNo
Enumeration DateJuly 28, 2008
Last NPPES UpdateJanuary 5, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
NPI 1629233770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N1556
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10024819 (TX)
4610 KELL BLVD, Wichita Falls, TX 76310

Other Names 1

Former Name (1)Dr. Kissi Rosabel Torres M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kissi Rosabel Blackwell M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76310 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier29 claims29 services$35.89 avg. paid by Medicare
Durable medical equipment, miscellaneous E1399
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$88.80 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kissi Blackwell's NPI number?

The NPI number for Kissi Blackwell is 1629233770. It was assigned to this individual provider in the NPPES registry on July 28, 2008. The provider is also known as Dr. Kissi Rosabel Torres M.D..

Where is Kissi Blackwell located?

Kissi Blackwell practices at 4610 Kell Blvd, Wichita Falls, TX 76310. The listed phone number is (940) 441-2273.

What is Kissi Blackwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kissi Blackwell enrolled in Medicare?

No. Kissi Blackwell has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kissi Blackwell was last updated on January 5, 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.