Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. EILEEN M. BLACKBURN PA-C
NPI 1790738490
Physician Assistant - Medical in Sunrise, FL

Q: What is Eileen Blackburn's NPI number?

The NPI number for Eileen Blackburn is 1790738490. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Eileen Blackburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eileen Blackburn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 May 17, 2006PECOS Enrolled

14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323(800) 424-3672(954) 377-3042 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Eileen M. Blackburn Pa-c NPPES

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

MS. EILEEN M. BLACKBURN PA-C (NPI 1790738490) is an individual medical provider in Sunrise, Florida, licensed in Florida (PA 2181) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790738490

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. EILEEN M. BLACKBURNCredential: PA-C

Location Address14050 NW 14TH ST, SUITE 190Sunrise, FL 33323-2865

Mailing Address206 2nd St EBradenton, FL 34208-1042 · (941) 746-5111 · Fax (941) 745-7206

Phone(800) 424-3672

Fax(954) 377-3042

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1790738490 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 FL · PA 2181

14050 NW 14TH ST, Sunrise, FL 33323

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Eileen M. Blackburn Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

45 services45 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

31 services30 patients

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.

12 services12 patients

Other Providers at the Same Location NPPES 16

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

DR. HEMANGINI J MEHTA M.D.

Internal Medicine