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

Jessica Blackwill, APRN

Individual provider Family Nurse Practitioner · NPI 1114584802

Jessica Blackwill, APRN is a Nurse Practitioner in Kingman, Kansas. Qualified in 2019, 7 years ago. Practices with Ninnescah Valley Health Systems Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

750 W D Ave
Kingman, KS 67068-1266
Phone: (620) 532-0295
Fax: (855) 483-0002
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-78792-101 (KS)

Record details

NPI number1114584802
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address750 W D Ave, Kingman, KS 67068-1266

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ninnescah Valley Health Systems Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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