KARIAN SAMECH BLACKWOOD
NPI 1689386799
Nurse Practitioner - Acute Care in Holllywood, FL

Q: What is Karian Blackwood's NPI number?

The NPI number for Karian Blackwood is 1689386799. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is Karian Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Karian Blackwood was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 20, 2022PECOS EnrolledAccepts Medicare Assignment

3501 JOHNSON ST, HOLLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Karian Samech Blackwood NPPES

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

KARIAN SAMECH BLACKWOOD (NPI 1689386799) is an individual acute care provider in Holllywood, Florida, licensed in Florida (11002778) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689386799

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKARIAN SAMECH BLACKWOOD

Location Address3501 JOHNSON STHolllywood, FL 33021-5421

Mailing Address640 Sw 164th AvePembroke Pines, FL 33027-1086 · (954) 325-0244

Phone(954) 987-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1689386799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · 11002778

3501 JOHNSON ST, Holllywood, FL 33021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Karian Samech Blackwood 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 ID7315305836

PECOS Enrollment IDI20230615001162

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 20

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

DR. LESTER GOLDBERG M.D.

Radiology (Diagnostic Radiology)