Jessica Mena Blackwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1456 Issued in AL

Practice address

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804

Phone

(205) 877-1930

NPI assigned

Feb 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
• Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicammena@direct.uabmedicine.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.

• Anesthesiologists Associated PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1285140921
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL

  Medicare reassignment Care Compare group
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Bessemer Emergency Physicians, LLC.

  • Emergency Medicine Physician
  • Bessemer, AL
  • NPI 1932298536
  Medicare reassignment
• Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1467478628
  Medicare reassignment
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• Trinity Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1487669016
  Medicare reassignment
• Trinity Emergency Physicians LLC

  • Emergency Medicine Physician
  • Trussville, AL
  • NPI 1326750589
  NPD
• University of Alabama Health Services Foundation, PC

  • Clinical Medical Laboratory
  • Birmingham, AL
  • NPI 1164617205
  NPD

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

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• BBH BMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• BBH PBMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation
• BBH SBMC, LLC

  • General Acute Care Hospital
  • Alabaster, AL
  • NPI 1811341167
  Care Compare affiliation
• BBH WBMC, LLC

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1447716766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 GRANTLAND PL",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261420",
            "telephone_number": "205-396-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096804",
            "telephone_number": "205-877-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JESSICA",
        "middle_name": "MENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "1883",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336101401",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda J Blackstone, MS, CCC-A
• Michael Warner Blackstone Sr., MD
• Shane Renee Blackwell Miller
• Brent Blackwell
• Colton Blackwell
• Kimberly Blackwell
• Savannah Blackwell
• Timothy Scott Blackwell Jr., MD
• Elena Blain
• Blair Counseling & Consulting

• Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.