MS. KATHERINE ANN BLACKWELL – Medical Physician Assistant, NPI 1942570973
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MS. KATHERINE ANN BLACKWELL
1209 10TH ST
SUITE D
PORT HURON, MI 480605262
Phone: (810) 898-5817
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,359.
Total Amount is formed as General ($1,359) + Research ($0) + Ownership ($0) = $1,359.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($222).
Total Amount
$1,359
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $222 |
| Otsuka America Pharmaceutical, Inc. | $141 |
| Lilly USA, LLC | $141 |
| ABBVIE INC. | $140 |
| ITI, Inc. | $90 |
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: 2012-03-09
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 |
|---|---|---|---|---|
| I20120309000639 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 410 | 173 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 174 | 108 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 155 | 101 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 149 | 97 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 148 | 96 | $0 |
Insurance plans in this area (ZIP 48060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 83036 | Hemoglobin A1C level | 40 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| General Practice | MI | |
| - | MI | |
| Physician Assistant | MI | |
| General Practice | MI | |
| Nurse Practitioner | MI |
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