Active NPI 1952776817 Individual Practitioner Female Practitioner

Alicia K Blacksmith , CNP

Nurse Practitioner • Brunswick, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alicia Blacksmith, CNP is a certified Nurse Practitioner practicing in Brunswick, OH. With approximately 11 years of clinical experience since completing medical education in 2015, Alicia Blacksmith delivers high-quality medical care to the local community at 4065 CENTER RD STE 220.

Alicia Blacksmith is affiliated with Southwest General Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4065 Center Rd Ste 220

Brunswick, OH 442125325

Telephone 3305580070

Associated Practice Facility / Clinic

🏢 Southwest General Medical Group, Inc. Facility NPI 1588713325

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Brunswick, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.2 yrs vs City Avg

City Avg: 8.8 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Brunswick, OH (4294 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blacksmith (11 Years) 11 Yrs

Brunswick Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	100	$235.00	$102.59
83036 Hemoglobin A1C level	51	24	$25.00	$9.25
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$170.00	$72.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$200.00	$103.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	96	$235.00	$104.35
83036 Hemoglobin A1C level	41	24	$25.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$200.00	$105.04
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$166.54	$73.59
G0008 Administration of influenza virus vaccine	19	18	$40.00	$29.36
90662 Influenza vaccine split virus, preservative free	19	18	$128.16	$71.75
81003 Automated urinalysis test	14	12	$20.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	109	$235.00	$106.16
83036 Hemoglobin A1C level	33	22	$25.00	$9.59
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$165.00	$75.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$200.00	$108.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	125	$234.18	$108.52
99213 Established patient office or other outpatient visit, typically 15 minutes	82	75	$161.34	$76.20
83036 Hemoglobin A1C level	26	23	$25.00	$9.71
G0008 Administration of influenza virus vaccine	19	19	$40.00	$16.18
90662 Influenza vaccine split virus, preservative free	16	16	$95.00	$64.99
81003 Automated urinalysis test	15	14	$20.00	$2.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$200.00	$110.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$100.00	$46.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	72	$121.06	$62.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$170.00	$90.92
G0008 Administration of influenza virus vaccine	21	21	$40.00	$16.05
90662 Influenza vaccine split virus, preservative free	20	20	$94.50	$60.68
83036 Hemoglobin A1C level	14	11	$25.00	$9.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$200.00	$97.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	78	$120.00	$61.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	40	$170.00	$89.71
G0008 Administration of influenza virus vaccine	12	12	$40.00	$15.75
90662 Influenza vaccine split virus, preservative free	11	11	$85.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	105	$120.00	$59.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	34	$170.00	$88.13
G0008 Administration of influenza virus vaccine	21	21	$40.00	$19.30
90662 Influenza vaccine split virus, preservative free	20	20	$70.00	$52.30
81003 Automated urinalysis test	12	12	$20.00	$2.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$88.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	89	$120.00	$59.56
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$117.35	$60.84
69209 Removal of impacted ear wax by washing	22	17	$20.00	$12.24
81002 Urinalysis, manual test	18	17	$22.00	$3.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$165.33	$87.70

Medical Specialties & State Licenses

CMS Verified: 2021-01-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP-18407

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Southwest General Medical Group Inc

4065 Ctr Rd, Brunswick, OH 442125325

Southwest General Medical Group Inc

7255 Old Oak Blvd, Cleveland, OH 441303300

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Sujaya Vijayakumar , MD

Family Medicine

NPI 1023224102

Doctor of Medicine (M.D.)

Rachael Bator , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1093201618

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Mark Meacham , MD

Family Medicine

NPI 1134229644

Doctor of Medicine (M.D.)

Michelle Konstantinovsky , CNP

Nurse Practitioner - Family

NPI 1174929210

Certified Nurse Practitioner

Dr. Rammy Korkor , MD

Internal Medicine

NPI 1356846711

Doctor of Medicine (M.D.)

Dr. Mila Gonzales , MD

Family Medicine

NPI 1407833510

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 18, 2021

Registered at 4065 CENTER RD STE 220, BRUNSWICK, OH 442125325 (Tel: 3305580070)

✅

NPI Profile Active December 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2015

Registered at 18100 ROYALTON RD, STRONGSVILLE, OH 441369500 (Tel: 4408165950)

📍

Updated Business Mailing Address December 03, 2015

Registered at PO BOX 638269, CINCINNATI, OH 452638269

👤

Provider Name / Credentials Updated December 03, 2015

Recorded as ALICIA BLACKSMITH, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2015

Nurse Practitioner (License #NP-18407 in OH)

🟢

Initial NPI Registration & Enumeration December 03, 2015

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: 1952776817

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 03, 2015

Last Update: January 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 638269

Cincinnati, OH 452638269

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.