Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Andrew Nizinski, PA-C

Individual provider Physician Assistant · NPI 1255267548

Blake Andrew Nizinski, PA-C is a Physician Assistant in Fort Campbell, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5662 Screaming Eagle Blvd
Fort Campbell, KY 42223-5403
Phone: (270) 798-7111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255267548
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 8, 2026

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