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

Kirstine A. Blackshear, PA-C

Individual provider Medical Physician Assistant · NPI 1841269313

Kirstine A. Blackshear, PA-C is a Physician Assistant in Buckeye, Arizona. Qualified in 2003, 23 years ago. Practices with Vhs Outpatient Clinics Inc, a 206-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1209 N Miller Rd
Buckeye, AZ 85326-1043
Phone: (623) 386-5785
Fax: (623) 386-6673
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2967 (AZ)

Record details

NPI number1841269313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Vhs Outpatient Clinics Inc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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