BLACKWELL NURSING SERVICES LLC — NPI 1225618713 (Licensed & Credentialed Licensed Practical Nurse in LAUREL, MS)

CMS-1500 Box 24J / 33a • NPI

1225618713

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

164W00000X

Licensed & Credentialed Licensed Practical Nurse

Box 32 Service Location & ZIP+4

19 CLAIRMONT CIRCLE, LAUREL, MS, 39440

Official NPPES Practice Location

Practice Phone & Referral Fax

(601) 342-2021

Fax: (601) 342-2714

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225618713 (BLACKWELL NURSING SERVICES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225618713` (NPI-2 Organization / Facility)
Provider / Legal Name	BLACKWELL NURSING SERVICES LLC
Plain-English Specialty	Licensed & Credentialed Licensed Practical Nurse NUCC Code: `164W00000X` (Licensed Practical Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	19 CLAIRMONT CIRCLE, LAUREL, MS, 39440
Practice Telephone / Fax	Tel: (601) 342-2021 \| Fax: (601) 342-2714
Administrative Mailing Address	PO BOX 2276, LAUREL, MS, 39442
Enumeration & Last Sync	Enumerated: 2021-04-09 \| CMS Record Updated: 2021-04-09
Authorized Official	KEVIN SMITH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19 CLAIRMONT CIRCLE, LAUREL, MS, 39440

🗺️ Open in Google Maps 🏥 More Providers in LAUREL

🔒 Are you BLACKWELL NURSING SERVICES LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (164W00000X)

What Does Taxonomy Code 164W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Practical Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLACKWELL NURSING SERVICES LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`372600000X` — Adult Companion Plain English: Licensed & Credentialed Adult Companion	State: N/A \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Secondary
`376K00000X` — Nurse's Aide Plain English: Licensed & Credentialed Nurse's Aide	State: N/A \| License: `Verified` \| Primary: Secondary
`164W00000X` — Licensed Practical Nurse Plain English: Licensed & Credentialed Licensed Practical Nurse	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

BLACKWELL NURSING SERVICES LLC (NPI #1225618713)