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

MS. Vicki M Blackwell, PA

Individual provider Surgical Physician Assistant · NPI 1043235963

MS. Vicki M Blackwell, PA is a Physician Assistant in Tampa, Florida. Qualified in 1995, 31 years ago. Practices with Wazni PLLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3657 Madaca Ln
Tampa, FL 33618-2048
Phone: (800) 991-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2010 Patton Chapel Rd Ste 200, Vestavia Hills, AL 35216-5784 — (205) 910-7599

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9120078 (FL)

Record details

NPI number1043235963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Wazni Pllc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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