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MS. TRACELYNN JENNINGS BLACKWELL PA
NPI 1972766202
Physician Assistant - Surgical in Raleigh, NC

Active since July 07, 2008
30.02/100
CMS Quality Rating
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tracelynn Jennings Blackwell Pa NPPES

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

MS. TRACELYNN JENNINGS BLACKWELL PA (NPI 1972766202) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (0010-03005) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1972766202
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. TRACELYNN JENNINGS BLACKWELLCredential: PA
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-8000
Sole ProprietorYes
Enumeration DateJuly 7, 2008
Last NPPES UpdateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1972766202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-03005
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-2008-0010 (NM)
3000 NEW BERN AVE, Raleigh, NC 27610
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

30.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.22
Promoting Interoperability0
Improvement Activities20
Cost55.85

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.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ADAM PETER LISEWSKI OT
Occupational Therapist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Tracelynn Blackwell's NPI number?

The NPI number for Tracelynn Blackwell is 1972766202. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Tracelynn Blackwell located?

Tracelynn Blackwell practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-8000.

What is Tracelynn Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tracelynn Blackwell was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.