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ABBYE NICOLE BLACKWELL PA
NPI 1902625098
Physician Assistant in Jackson, MS

Active since October 07, 2024PECOS EnrolledAccepts Medicare Assignment
1325 E FORTIFICATION ST, JACKSON, MS 39202(601) 354-4488 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abbye Nicole Blackwell Pa NPPES

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

ABBYE NICOLE BLACKWELL PA (NPI 1902625098) is an individual physician assistant in Jackson, Mississippi, licensed in Mississippi (00815) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902625098
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABBYE NICOLE BLACKWELLCredential: PA
Location Address1325 E FORTIFICATION STJackson, MS 39202-2442
Mailing Address1325 E Fortification StJackson, MS 39202-2442 · (601) 354-4488
Phone(601) 354-4488
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1902625098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MS · 00815
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1325 E FORTIFICATION ST, Jackson, MS 39202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Abbye Nicole Blackwell Pa 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 ID7719410133
PECOS Enrollment IDI20241023004656
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 3

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250138
Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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.

JOSH CAMPBELL HARDIN ATC/L
Specialist/Technologist (Athletic Trainer)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
DR. TREVOR REED PICKERING M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
DR. FORTUNATO GABRIEL PADUA MD
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
DR. LARRY DANIEL FIELD MD
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
MARY ALLISON DURR PA-C
Physician Assistant (Surgical)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
JOHN CAUSEY RNFA
Registered Nurse (Registered Nurse First Assistant)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
MARY MARGARET ENDRIS
Nurse Practitioner (Family)
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488
DR. JAMES WILLIAM WOODALL JR. M.D.
Orthopaedic Surgery
1325 E FORTIFICATION ST
JACKSON, MS 39202
Hinds County (601) 354-4488

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 Abbye Blackwell's NPI number?

The NPI number for Abbye Blackwell is 1902625098. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Abbye Blackwell located?

Abbye Blackwell practices at 1325 E Fortification St, Jackson, MS 39202. The listed phone number is (601) 354-4488.

What is Abbye Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abbye Blackwell enrolled in Medicare?

Yes. Abbye Blackwell 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 Abbye Blackwell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Abbye Blackwell 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 Abbye Blackwell affiliated with any hospitals?

According to CMS data, Abbye Blackwell is affiliated with St Dominic-Jackson Memorial Hospital, Mississippi Baptist Medical Center and Merit Health River Oaks.

When was this NPI record last updated?

The NPPES record for Abbye Blackwell was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.