Kimberly Nicole Blackwell, PA-C
Physician Assistant · Wilmington, NC
Kimberly Nicole Blackwell, PA-C is a physician assistant with a practice address in Wilmington, North Carolina, and NPI 1487439089, issued on Aug 30, 2023. Check the license (North Carolina 0010-15641, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kimberly Nicole Blackwell
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-15641 NC
Self-reported in NPPES; status is on the state search - Practice location
- 613 Shipyard Blvd Ste 106, Wilmington, NC 28412
- Phone
- (910) 202-3068
- Enumerated
- Aug 30, 2023
- Record last updated
- Oct 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20260213003903); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 613 Shipyard Blvd Ste 106
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Katharine Hanavan, LCSWClinical Social Worker1326692054
Verify Kimberly Nicole Blackwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-15641Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Coastal Horizons Center, Inc.Shallotte, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kimberly Nicole Blackwell among 9,279 physician assistant records in North Carolina
Kimberly Nicole Blackwell, PA-C is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 83% of them.
- NPI issued2023 · 83% of these records are older, 12% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2024 · median 2017 among the 6,366 with a school on file
- Record last updated2025 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
369 physician assistant records list a practice address in Wilmington
They are 369 of the 6,526 NPPES records with a practice address in Wilmington, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Wilmington → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Daniel Culbreth, PAWilmington, NC 284121982606638
- Melissa Farrow, PA-CWilmington, NC 284121740365931
- Stephen Free, PAC MPASWilmington, NC 284121225091796
- Armando Gonzalez, PACWilmington, NC 284121154384428
- Michele Hickman, PA-CWilmington, NC 284121184739708
- Craig Johnson, PAWilmington, NC 284121326040924
- Raymond Jolly, PAWilmington, NC 284121588666929
- Amelia Lamb, PAWilmington, NC 284121750383436
Common questions
What is Kimberly Nicole Blackwell, PA-C's NPI number?
Kimberly Nicole Blackwell, PA-C's National Provider Identifier (NPI) is 1487439089, issued on Aug 30, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly Nicole Blackwell, PA-C located?
The NPPES record lists a practice address at 613 Shipyard Blvd Ste 106, Wilmington, NC, 28412. Phone: (910) 202-3068. Providers update this record themselves, so call before visiting.
How can I verify Kimberly Nicole Blackwell, PA-C's license?
NPPES lists North Carolina license number 0010-15641, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.