JESSICA BLACKWILL (APRN) – Family Nurse Practitioner, NPI 1114584802
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
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Provider Addresses for JESSICA BLACKWILL (APRN)
760, D Avenue, Kingman, Kingman County, Kansas, 67068, United States
KINGMAN, KS 670681222
Phone: (620) 532-3147
Type: Location
750 W D AVE
KINGMAN, KS 670681266
Phone: (620) 532-0295
Fax: (855) 483-0002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Novo Nordisk Inc ($82).
Total Amount
$224
General + Research + Ownership
Payments
14
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $82 |
| Amgen Inc. | $57 |
| Electromed, Inc. | $35 |
| AstraZeneca Pharmaceuticals LP | $20 |
| Phathom Pharmaceuticals, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190726000236 | I | Nurse Practitioner | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Physician Assistant | KS | |
| Family Practice | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Family Practice | KS | |
| Family Practice | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS |
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