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

Monika Blackmon

Individual provider Physician Assistant · NPI 1922767425

Monika Blackmon is a Physician Assistant in Naples, Florida. Qualified in 2012, 14 years ago. Practices with Lisa D Zack MD PA, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2021
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Practice location Address checks out

4513 Executive Dr
Naples, FL 34119-9033
Phone: (239) 431-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922767425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2021
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address4513 Executive Dr, Naples, FL 34119-9033

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lisa D Zack Md Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Naples