EMMA KAVANAUGH BLACKWELL NP
NPI 1760261135
Nurse Practitioner - Women's Health in Roxbury, MA

Q: What is Emma Blackwell's NPI number?

The NPI number for Emma Blackwell is 1760261135. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Emma Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Emma Blackwell was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 26, 2023PECOS EnrolledAccepts Medicare Assignment

45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-8334 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Emma Kavanaugh Blackwell Np NPPES

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

EMMA KAVANAUGH BLACKWELL NP (NPI 1760261135) is an individual women's health provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2361944) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760261135

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameEMMA KAVANAUGH BLACKWELLCredential: NP

Location Address45 DIMOCK STRoxbury, MA 02119-1208

Mailing Address301 North St Apt 1Boston, MA 02113-2141 · (973) 255-7790

Phone(617) 442-8800

Fax(617) 541-8334

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 7, 2023

✔ NPI 1760261135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MA · RN2361944

45 DIMOCK ST, Roxbury, MA 02119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Emma Kavanaugh Blackwell Np 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 ID2062867211

PECOS Enrollment IDI20231009002179

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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