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

Roxanne Blackwell

Individual provider Critical Care Medicine Registered Nurse · NPI 1972282440

Roxanne Blackwell is a Nurse Practitioner in Round Rock, Texas. Qualified in 2023, 3 years ago. Practices with St Davids Heart and Vascular PLLC, a 198-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2692 Bradley Ln
Round Rock, TX 78664-4596
Phone: (936) 524-4071
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1139030 (TX)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 937216 (TX)

Record details

NPI number1972282440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESFebruary 17, 2024
Certification dateFebruary 17, 2024
Mailing address2692 Bradley Ln, Round Rock, TX 78664-4596

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Davids Heart And Vascular Pllc — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Round Rock