Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407553019 Individual Practitioner Female Practitioner

Michaela Rose Blackwell , PA-C

Physician Assistant • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michaela Blackwell, PA-C is a certified Physician Assistant practicing in Rockford, IL. With approximately 3 years of clinical experience since completing medical education in 2023, Michaela Blackwell delivers high-quality medical care to the local community at 5875 E RIVERSIDE BLVD.

Michaela Blackwell is affiliated with Orthomidwest, Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5875 E Riverside Blvd

Rockford, IL 611144937

Telephone 8153989491
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockford, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackwell (3 Years) 3 Yrs
Rockford Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085010688

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Orthomidwest, Pllc

770 Beloit Rd, Belvidere, IL 610081745

Phone: 8153989491

Orthomidwest, Pllc

5875 E Riverside Blvd, Rockford, IL 611144937

Phone: 8153989491

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003158403

Doctor of Medicine (M.D.)

Mariola Grzeszczyk , APRN

Nurse Practitioner

NPI 1003425463

Advanced Practice Registered Nurse

NPI 1003856295

Doctor of Medicine (M.D.)

Dr. Douglas Pacaccio , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013005867

Doctor of Podiatric Medicine

Dr. Kelly Brinkman , DPT

Physical Therapist

NPI 1023398179

Doctor of Physical Therapy

Amanda Foit , NP

Nurse Practitioner

NPI 1023426475

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 01, 2024

Registered at 5875 E RIVERSIDE BLVD, ROCKFORD, IL 611144937 (Tel: 8153989491)

📍
Updated Business Mailing Address November 01, 2024

Registered at PO BOX 735263, CHICAGO, IL 606735263

👤
Provider Name / Credentials Updated November 01, 2024

Recorded as MICHAELA BLACKWELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2024

Physician Assistant (License #085010688 in IL)

NPI Profile Active February 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2023

Registered at 24 AIRPORT RD, WEST LEBANON, NH 037841663 (Tel: 6032986617)

📍
Updated Business Mailing Address February 14, 2023

Registered at 419A DOVER POINT RD, DOVER, NH 038204627

👤
Provider Name / Credentials Updated February 14, 2023

Recorded as MICHAELA BLACKWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407553019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2023
Last Update: November 01, 2024
Sole Proprietor: No

Mailing Address

Po Box 735263

Chicago, IL 606735263

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.