JENNIFER BLACKERBY – Physician Assistant, NPI 1144933367

JENNIFER BLACKERBY is a healthcare provider. based in Midland, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA17192 (TX). The NPI Number for JENNIFER BLACKERBY is 1144933367

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BLACKERBY
NPI
1144933367
Phone
(432) 682-5385
Address
5000 BRIARWOOD AVE
Enumeration Date
3 January 2023
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4326825385
Graduation Year
2023 (3 years ago)
PAC ID
5092257469
Group Practice PAC ID
4789659392
Professional Enrollment ID
I20240613000614
Address ID
TX797072753MI5000XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JENNIFER BLACKERBY

  • 5000 BRIARWOOD AVE

    MIDLAND, TX 797072753

    Phone: (432) 682-5385

    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 34 Open Payments records for all available years, with a total value of $846.

Total Amount is formed as General ($846) + Research ($0) + Ownership ($0) = $846.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($309).

Total Amount

$846

General + Research + Ownership

Payments

34

Total payment records

General Amount

$846

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240613000614IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 79707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789659392View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
A L L E R G Y/ I M M U N O L O G YCO
-TX
-TX
-TX
Allergy/Immunology, Pediatric MedicineTX
A L L E R G Y/ I M M U N O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER BLACKERBY?
NPI 1144933367 is assigned to JENNIFER BLACKERBY under the national enumeration system.
Is JENNIFER BLACKERBY active in the national directory?
JENNIFER BLACKERBY's public NPI profile is in an active state.
Can you summarize JENNIFER BLACKERBY's specialty in plain language?
Clinically, the directory lists JENNIFER BLACKERBY with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JENNIFER BLACKERBY's primary listing?
We display Midland, Texas because that is what the record indicates for JENNIFER BLACKERBY.
How can I contact JENNIFER BLACKERBY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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