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MRS. BRANDY BLACKSTON PA-C
NPI 1790158392
Physician Assistant - Medical in Berkley, MI

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment
27901 WOODWARD AVE STE 300, BERKLEY, MI 48072(248) 545-0070(248) 545-4850 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brandy Blackston Pa-c NPPES

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

MRS. BRANDY BLACKSTON PA-C (NPI 1790158392) is an individual medical provider in Berkley, Michigan, licensed in Michigan (5601007562) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1790158392
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. BRANDY BLACKSTONCredential: PA-C
Location Address27901 WOODWARD AVE STE 300Berkley, MI 48072-0921
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1865 · Fax (947) 522-0307
Phone(248) 545-0070
Fax(248) 545-4850
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 4, 2015
Last NPPES UpdateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1790158392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601007562
27901 WOODWARD AVE STE 300, Berkley, MI 48072
Open in Google Maps ↗

Secondary Practice Location 1

Location 116800 W 12 Mile Rd Ste 102Southfield, MI 48076-6335 · Phone (248) 569-9797 · Fax (248) 569-9780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Mrs. Brandy Blackston 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 ID2163718412
PECOS Enrollment IDI20160913000483
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
318 services294 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
317 services271 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
190 services175 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

DR. ROHIT VYAS
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0700
JOHN C STEPHENS MD
Internal Medicine (Interventional Cardiology)
27901 WOODWARD AVE STE 300, BEAUMONT NORTHPOINTE HEART CENTER
BERKLEY, MI 48072
Oakland County (248) 545-0070
DANIEL GERARD WALSH MD
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
MARLA L. KALAWA NP
Nurse Practitioner (Acute Care)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
LAUREN NABORCZYK PA-C
Physician Assistant (Medical)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR. HAZIM AL-AMERI M.D.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR. SALIM HAJI AHMED MD
Internal Medicine (Clinical Cardiac Electrophysiology)
27901 WOODWARD AVE STE 300, BEAUMONT NORTHPOINTE HEART CENTER - WOODWARD
BERKLEY, MI 48072
Oakland County (248) 545-0070
OLIVIA ALLEN DO
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE STE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070

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 Brandy Blackston's NPI number?

The NPI number for Brandy Blackston is 1790158392. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Brandy Blackston located?

Brandy Blackston practices at 27901 Woodward Ave Ste 300, Berkley, MI 48072. The listed phone number is (248) 545-0070.

What is Brandy Blackston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brandy Blackston enrolled in Medicare?

Yes. Brandy Blackston 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.

What insurance does Brandy Blackston accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Brandy Blackston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandy Blackston affiliated with any hospitals?

According to CMS data, Brandy Blackston is affiliated with Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Brandy Blackston was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.