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

MS. Denise Nanette Blackbourne, PA-C

Individual provider Medical Physician Assistant · NPI 1356623961

MS. Denise Nanette Blackbourne, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2011, 15 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2011
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

1800 Orleans St
Baltimore, MD 21287-0010
Phone: (410) 502-2037
Show map & directions

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

Additional practice locations (1)

  • 4470 Regency Pl, White Plains, MD 20695-3085 — (240) 252-2140

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0007330 (MD)

Record details

NPI number1356623961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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