Christopher Blackwell, CNP - Medicare Nurse Practitioner in Tylertown, MS

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Christopher Blackwell, CNP is a medicare enrolled "Nurse Practitioner - Family" in Tylertown, Mississippi. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Blackwells Family Medicine Llc and his current practice location is 107 Ball Ave, Tylertown, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 377-1975.

Christopher Blackwell is licensed to practice in Mississippi (license number R871872) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982964565.

Contact Information

Christopher Blackwell, CNP
107 Ball Ave,
Tylertown, MS 39667-2101
(601) 377-1975
(601) 377-1976

Map and Direction




Provider's Profile

Full NameChristopher Blackwell
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location107 Ball Ave, Tylertown, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christopher Blackwell graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1982964565
  • Provider Enumeration Date: 05/17/2012
  • Last Update Date: 03/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173789047
  • Enrollment ID: I20120720000179

Medical Identifiers

Medical identifiers for Christopher Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982964565NPI-NPPES
103I507204OtherMSMEDICARE PTAN
01538051MedicaidMS
9365915OtherMSAETNA
937501OtherMSWINDSOR
P01087211OtherMSRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R871872 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke Home Health ServicesMccomb, MSHome health agency
Forrest General Home CareHattiesburg, MSHome health agency
Walthall County General Hospital CahTylertown, MSHospital
Field Health SystemCentreville, MSHospital
Southwest Ms Regional Medical CenterMccomb, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blackwells Family Medicine Llc07496163813

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher Blackwell allows following entities to bill medicare on his behalf.
Entity NameField Memorial Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648376
PECOS PAC ID: 0547248544
Enrollment ID: O20040707001237
Entity NameKeystone Medical Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174691059
PECOS PAC ID: 7618075177
Enrollment ID: O20070606000447
Entity NameSouthwest Mississippi Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245289172
PECOS PAC ID: 5193633907
Enrollment ID: O20080512000089
Entity NameSouthwest Mississippi Regional Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1932211851
PECOS PAC ID: 5193633907
Enrollment ID: O20080512000285
Entity NameWalthall General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245512417
PECOS PAC ID: 3678766094
Enrollment ID: O20111103000238
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameKeystone Medical Services Of Gulfport Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881070183
PECOS PAC ID: 7113221011
Enrollment ID: O20160215000517
Entity NameRelias Emergency Medicine Specialists Of Mccomb, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477195972
PECOS PAC ID: 7517391121
Enrollment ID: O20200107000381
Entity NameBlackwells Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366003436
PECOS PAC ID: 0749616381
Enrollment ID: O20200130001390

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Blackwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christopher Blackwell, CNP
107 Ball Ave,
Tylertown, MS 39667-2101

Ph: (601) 377-1975		Christopher Blackwell, CNP
107 Ball Ave,
Tylertown, MS 39667-2101

Ph: (601) 377-1975

Reviews and Comments


Nurse Practitioner Nurses in Tylertown, MS

Regina A Williams, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Hospital Dr, Tylertown, MS 39667
Phone: 601-876-5303    Fax: 601-876-0653
Carol Hobgood, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Dr, Tylertown, MS 39667
Phone: 601-876-5303    
Dr. Deondra Monique Carr, PHD, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 95 Need Yarborough Rd, Tylertown, MS 39667
Phone: 601-502-4187    
Chelsea Hill, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Plaza Dr Ste C, Tylertown, MS 39667
Phone: 601-803-5676    Fax: 601-803-5677
Mrs. Erin Broome Riley, MSN, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Hospital Dr, Tylertown, MS 39667
Phone: 601-876-5835    Fax: 601-876-5295
Timothy Paul Martin, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Medical Cir, Tylertown, MS 39667
Phone: 731-394-1145    
Pamela Dillon, F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 113 Enochs St, Tylertown, MS 39667
Phone: 601-876-3858    Fax: 601-825-8130

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.