Amber R. Blackledge, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA060316 Issued in PA

Practice address

4 Northridge Dr
Buckhannon, WV 26201-8482

Phone

(304) 473-1440

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

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 PA, VT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Vermont Medical Center IncGroup PAC ID 9335138817, 233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ablackledge576286@direct.uvmhealth.org

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784
  Medicare reassignment Care Compare group NPD
• Ahn Emergency Group of Pittsburgh LTD.

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1043635402
  Medicare reassignment
• Ahn Hospitalist Group, LTD

  • Internal Medicine Physician
  • Natrona Heights, PA
  • NPI 1770984304
  Medicare reassignment
• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VT

  Medicare reassignment
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  • Urology Physician
  • Butler, PA
  • NPI 1487129946
  NPD
• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  NPD (past)

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

• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1316410665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "KOPPEL",
            "state": "PA",
            "postal_code": "161360479",
            "telephone_number": "724-312-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHRIDGE DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018482",
            "telephone_number": "304-473-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLEDGE",
        "first_name": "AMBER",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060316",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bishop
• Angela Marie Black
• Joyce Black
• Theresa Ann Black, FNP-BC
• Bonnie Lynn Blackburn, PA
• Mary Blake
• Sandra Blake
• Karen Sue Bland
• Emily Boggs, ATC
• Elizabeth Suzanne Bohman, MA, LPC, NCC

• Medical Physician Assistant in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.