Kimberly Blackwell, PA-C
NPI 1487439089 · Physician Assistant · Wilmington, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Blackwell, PA-C is a Physician Assistant provider in Wilmington, NC (NPI 1487439089).
Provider details
- NPI number
- 1487439089
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-15641 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 7910 US Hwy 117 SRocky Point, NC 28457-9431Phone: (910) 259-0668
- 7910 US Hwy 117 S # aRocky Point, NC 28457-9431Phone: (910) 259-0668
- 120 Coastal Horizons DrShallotte, NC 28470-6094Phone: (910) 754-4515
- 1414 Medical Center DrWilmington, NC 28401-7505Phone: (910) 790-9949
- 615 Shipyard BlvdWilmington, NC 28412-6431Phone: (910) 343-0145
Registry dates
- Enumerated
- 2023-08-30
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Kimberly Blackwell's NPI number?
- Kimberly Blackwell's National Provider Identifier (NPI) is 1487439089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Blackwell's specialty?
- Kimberly Blackwell is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Blackwell located?
- Kimberly Blackwell's practice location on file with NPPES is 613 Shipyard Blvd Ste 106, Wilmington, NC 28412-6491.
- What is Kimberly Blackwell's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Blackwell is (910) 202-3068.
- Does Kimberly Blackwell accept Medicare?
- Kimberly Blackwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Blackwell's NPI active?
- Yes — Kimberly Blackwell's NPI (1487439089) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.