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

MS. Katherine Ann Blackwell

Individual provider Medical Physician Assistant · NPI 1942570973

MS. Katherine Ann Blackwell is a Physician Assistant in Port Huron, Michigan. Qualified in 2011, 15 years ago. Practices with St Clair Medical PC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012

Practice location Address checks out

1209 10th St
Port Huron, MI 48060-5262
Phone: (810) 985-8170
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1942570973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2012
Last updated in NPPESDecember 19, 2016

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 St. Clair Medical P.C — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Huron