Kelly Costello Blackmon, APRN
NPI 1992110688ActiveIndividual· Nurse Practitioner· Waycross, GA
Nurse Practitioner (APRN) with American Oncology Partners PA, practicing in Waycross, Georgia. 102 Medicare patients in 2024, $20,122 paid; nearly all of their 348 Part D prescriptions were generic (91%). Janssen Biotech, Inc. was the largest of 4 companies reporting payments in 2025, $418.31 in all, mostly food and beverage. Lists Memorial Satilla Health as a hospital affiliation.
Overview
| NPI | 1992110688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jun 22, 2014 |
| Last updated in NPPES | Oct 15, 2025 |
| Certified by provider | Oct 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN-NP124057 | GA |
| Nurse Practitioner, Acute Care | 363LA2100X | APRN-NP124057 | GA |
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 - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 251 across 9 procedure codes |
| Paid by Medicare | $20,122 |
Part D prescriptions in 2024
| Prescriptions (claims) | 348 · 406 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $17,976 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- American Oncology Partners PAFort Wayne, IN · 391 clinicians
Hospital affiliation
- Memorial Satilla HealthWaycross, GA
Industry payments (Open Payments)
- 2025$418.31 · 9 payments from 4 companies
- 2024$23.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $230.89 | 5 |
| Exelixis Inc. | $95.00 | 1 |
| Myriad Genetic Laboratories, Inc. | $71.14 | 2 |
| Boston Scientific Corporation | $21.28 | 1 |
What the 2025 payments were for
- Food and Beverage$268.32 · 7 payments
- Education$149.99 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Waycross
- 1881558641
- 1841134533
- 1316640238
- 1851858062
- 1760966378
- 1336806637
- 1942239587
- 1073543435
- 1568496057
- 1336627421
- 1942233762
- 1063188324