Individual provider Active NPI

Allison Blacksher, PA

  • Physician Assistant
  • Saint James, MO
National Provider Identifier
1679072169
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2018004419 Issued in MO
Practice address
1000 N Jefferson St
Saint James, MO 65559-1078
Phone
(573) 265-8840
Fax
(573) 202-2474
NPI assigned
Feb 9, 2018
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2018004419 MO Primary

Addresses

Primary practice location

1000 N Jefferson St
Saint James, MO 65559-1078

Mailing address

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 1

518 Pine St
Steelville, MO 65565-6041
Phone (573) 775-5838

Other practice location 2

404 W Rolla Rd
Salem, MO 65560-1233
Phone (573) 729-6225

Other practice location 3

606 Highway 63 S Ste A
Vienna, MO 65582-8101
Phone (573) 422-3636

Other practice location 4

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20180222003067 MO Practitioner - Physician Assistant 2365703907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Rolla, MO 65401-2980

518 Pine St
Steelville, MO 65565-6041
Phone (573) 775-5838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2018004419MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic-Springfield Communities CurrentSince Mar 19, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 19, 2018 Accepting new patients
Mercy Clinic Springfield Communities Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

404 W Rolla Rd
Salem, MO 65560
Phone (573) 729-6225

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

518 Pine St
Steelville, MO 65565
Phone (573) 775-5838

Interoperability endpoints

  • Direct secure messaging: ablacksher659159@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1679072169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000",
            "fax_number": "573-426-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591078",
            "telephone_number": "573-265-8840",
            "fax_number": "573-202-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Pine St",
            "address_purpose": "LOCATION",
            "city": "Steelville",
            "state": "MO",
            "postal_code": "655656041",
            "country_code": "US",
            "telephone_number": "573-775-5838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 W Rolla Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655601233",
            "country_code": "US",
            "telephone_number": "573-729-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Highway 63 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "MO",
            "postal_code": "655828101",
            "country_code": "US",
            "telephone_number": "573-422-3636",
            "fax_number": "573-202-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKSHER",
        "first_name": "ALLISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

Verify at the official NPI Registry.