Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Bonnie Lynn Blackburn, PA

Individual provider Medical Physician Assistant · NPI 1386270908

Mrs. Bonnie Lynn Blackburn, PA is a Physician Assistant in Buckhannon, West Virginia. Graduated from Eastern Virginia Medical School in 2020, 6 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Trained at
Eastern Virginia Medical School
Licensed in
WV
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10 Amalia Dr Ste C5
Buckhannon, WV 26201-2270
Phone: (304) 460-7948
Fax: (304) 460-7908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Greenway Rd, Suffolk, VA 23438-9808 — (757) 328-1586

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2411 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386270908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Community Care Of West Virginia, Inc. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients58
Services billed 98 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Community Care of West Virginia, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 87 clinicians in the practice; 12 are shown here.

Other providers in Buckhannon