Jennifer Blackerby

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5000 Briarwood Ave
Midland, TX 79707-2753

Phone

(432) 682-5385

NPI assigned

Jan 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allervie Health Texas PAGroup PAC ID 4789659392, 9 clinicians

West Texas Allergy PAGroup PAC ID 4385693167, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: blackerby.jennifer.003.0090427@avh.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allervie Health Texas PA

  • Allergy & Immunology Physician
  • Lubbock, TX
  • NPI 1174642037
  Medicare reassignment Care Compare group
• West Texas Allergy, PA

  • Allergy & Immunology Physician
  • Midland, TX
  • NPI 1073631404
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1144933367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKERBY",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "PA17192",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bioenve, LLC
• Lucas Clark Bishop, DMD
• Dianna Black
• Rachel Campbell Black, PHARMD
• Stephanie Parker Black, FNP-BC
• Kurt C. Blackketter, LPC
• Camille Denise Blackledge, M.D.
• Lindsey Michelle Blair, LPC
• Joe'L Bland
• Joy A Blauvelt, LPC

• Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.