| Jessica Blackwill, APRN | |
|
750 W D Ave, Kingman, KS 67068-1266 | |
| (620) 532-0295 | |
| (855) 483-0002 |
| Full Name | Jessica Blackwill |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 750 W D Ave, Kingman, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114584802 | NPI | - | NPPES |
| 30003916630006 | Medicaid | KS | |
| 201243020A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 13-131277-101 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-78792-101 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Community Hospital | Kingman, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ninnescah Valley Health Systems Inc | 5799683694 | 10 |
| Entity Name | Ninnescah Valley Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508969965 PECOS PAC ID: 5799683694 Enrollment ID: O20040407000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Blackwill, APRN 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-0295 | Jessica Blackwill, APRN 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-0295 |
Kathleen S Prilliman, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 | |
Kathleen L Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-493-0002 | |
Jessica Marie Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 | |
Mrs. Logan Leigh Hageman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Ellen Kathleen Mcdonald, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 N Cedar, Kingman, KS 67068 Phone: 620-532-3101 Fax: 620-532-3427 | |
Laura C Bevis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Dawna Kay Huhman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-625-4458 |