Individual provider

Eileen Blackburn, PA-C

Medical Physician Assistant Medicare enrolled

Eileen Blackburn, PA-C is a Medical Physician Assistant in Sunrise, FL, registered under NPI 1790738490. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 14050 NW 14TH ST SUITE 190, Sunrise, FL 33323. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

14050 NW 14TH ST SUITE 190, Sunrise, FL 33323 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA 2181 FL Medical Physician Assistant primary

This provider holds licence PA 2181 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
8921010661
Enrollment ID
I20060622000042

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790738490 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 17, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorYes
CredentialPA-C
Practice address 14050 NW 14TH ST
SUITE 190
Sunrise, FL 33323
(800) 424-3672
Fax (954) 377-3042
Mailing address 206 2ND ST E
Bradenton, FL 34208
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1790738490 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 7 3 8 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 5 3 7 4 9

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790738490?
NPI 1790738490 is the National Provider Identifier assigned to Eileen Blackburn, PA-C in Sunrise, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Eileen Blackburn, PA-C?
The phone number on file with NPPES is (800) 424-3672, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Eileen Blackburn, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790738490 a valid number?
Yes. 1790738490 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.