Kimberly Suzzane Blackwell, PA-C
NPI 1013098342ActiveIndividual· Physician Assistant· Indianapolis, IN
Physician Assistant (PA-C) in Indianapolis, Indiana, licensed in IN, with an NPI issued in October 2006. Part D covered 53 prescriptions written in 2024, 75% of them generic. Medline Industries LP reported $29.16 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1013098342 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Sep 10, 2021 |
| Certified by provider | Sep 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10000609A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 53 · 83 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $103,016 |
| Generic share | 75% of claims |
Industry payments (Open Payments)
- 2025$29.16 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medline Industries LP | $29.16 | 1 |
What the 2025 payments were for
- Food and Beverage$29.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 728 physician assistants in Indianapolis · All physician assistants in Indiana