Kimberly Nicole Blackwell, PA-C
NPI 1487439089ActiveIndividual· Physician Assistant· Wilmington, NC
Physician Assistant (PA-C) with Coastal Horizons Center, Inc., practicing in Wilmington, North Carolina. Enrolled in Medicare as practitioner - physician assistant. Lists Novant Health New Hanover Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1487439089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 30, 2023 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-15641 | NC |
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 (NC) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Coastal Horizons Center, Inc.Shallotte, NC · 50 clinicians
Hospital affiliation
- Novant Health New Hanover Regional Medical CenterWilmington, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Wilmington
- 1003904129
- 1013368828
- 1013589886
- 1033255252
- 1033277090
- 1033660741
- 1033804299
- 1033876628
- 1043534605
- 1043808835
- 1053658880
- 1053701144
All 394 physician assistants in Wilmington · All physician assistants in North Carolina