MS. Vicki M Blackwell, PA
MS. Vicki M Blackwell, PA is a Physician Assistant in Tampa, Florida. Qualified in 1995, 31 years ago. Practices with Wazni PLLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 31
- Licensed in
- FL
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3657 Madaca LnTampa, FL 33618-2048
Phone: (800) 991-6117
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2010 Patton Chapel Rd Ste 200, Vestavia Hills, AL 35216-5784 — (205) 910-7599
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA9120078 (FL) |
|---|
Record details
| NPI number | 1043235963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 12, 2006 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | May 1, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | Wazni Pllc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 55 |
| Average patient age | 65 |
Payments from drug and device companies, 2025
| Food and Beverage | $163 |
|---|
Colleagues at Wazni PLLC
- Dr. Desiree A Clarke, MD Phlebology Physician · Lake Worth, FL
- Amanda Lewis Connors, PA-C Physician Assistant · Lake Worth, FL
- Mrs. Melissa Shannon Dubois, NP-C Adult Health Nurse Practitioner · Tampa, FL
- Jeffrey E Friedman, MD Phlebology Physician · Lakeland, FL
- James Michael Kemmerling, MD Surgery Physician · Wimauma, FL
- Dr. William Kiang, DO Vascular Surgery Physician · Tampa, FL
- Rachel A Lagrosa, APRN Nurse Practitioner · Wesley Chapel, FL
- Dr. Loan Kim Lam, DPM Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Tampa, FL
- Dr. Randall Corey Orem, DO Cardiovascular Disease Physician · Port Saint Lucie, FL
- Dr. Michael Don Roberts, MD Surgery Physician · Venice, FL
- Dr. Catherine B. Youssef, MD Diabetology (Internal Medicine) Physician · Batavia, IL
- Dr. Domenic A Zambuto, MD Phlebology Physician · Tampa, FL
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