Andrea P Blankenship, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA827 Issued in KY

Practice address

1098 S Mayo TRL
Pikeville, KY 41501-1546

Phone

(606) 432-5532

Fax

(606) 432-5564

NPI assigned

May 15, 2006

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

University of Kentucky College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Dermatology of Kentucky LLCGroup PAC ID 5496166308, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Modern Dermatology of Kentucky LLC

  • Dermatology Physician
  • Lexington, KY
  • NPI 1699382507
  Medicare reassignment Care Compare group
• Kentucky Dermatology and Skin Cancer Clinic, PSC

  • Specialist
  • Lexington, KY
  • NPI 1831310390
  NPD (past)
• Ronald D Hall MD

  • Specialist
  • Pikeville, KY
  • NPI 1093825705
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1659322337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022500",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011546",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "ANDREA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Blackburn
• Erica Blackburn, APRN
• John W Blackburn, MD
• Michelle Lee Blackburn, MSN, APRN, NP-C
• Jessica Blair, RN
• Melissa Blankenship, RN
• Walter Blevins Jr., DMD
• Bluegrass Family Walk-in Clinic LLC
• Bluegrass Oxygen Inc
• Alisha Bolen, APRN

• Physician Assistant in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.