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

Patricia Blackburn

Individual provider Physician Assistant · NPI 1790157642

Patricia Blackburn is a Physician Assistant in Oglesby, Illinois. Graduated from Southern Illinois University School of Medicine in 2015, 11 years ago. Practices with Mendota Community Hospital, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2015

Practice location Address checks out

520 W Walnut St
Oglesby, IL 61348-1400
Phone: (815) 883-3588
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005712 (IL)

Record details

NPI number1790157642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2015
Last updated in NPPESJanuary 26, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Mendota Community Hospital — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare