HAILEY E BLACKWOOD FNPC
NPI 1003586025
Nurse Practitioner in Bangor, ME

Q: What is Hailey Blackwood's NPI number?

The NPI number for Hailey Blackwood is 1003586025. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Q: What is Hailey Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Hailey Blackwood was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment

900 BROADWAY, BANGOR, ME 04401(207) 907-3300 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Jun 13, 2023, Oct 12, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Hailey E Blackwood Fnpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILEY E BLACKWOOD FNPC (NPI 1003586025) is an individual nurse practitioner in Bangor, Maine, licensed in Maine (CNP211487) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003586025

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHAILEY E BLACKWOODCredential: FNPC

Location Address900 BROADWAYBangor, ME 04401-1900

Mailing Address900 BroadwayBangor, ME 04401-1900 · (207) 907-3300

Phone(207) 907-3300

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 20, 2021

Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1003586025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP211487

Definition

(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.

900 BROADWAY, Bangor, ME 04401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hailey E Blackwood Fnpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638577992

PECOS Enrollment IDI20211018001838

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

204 services120 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

58 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services48 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA JAMES DUCHENE DO

Family Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3777

MARILYN L MICHAUD FNP

Nurse Practitioner (Family)

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

ILSA ANNETTA SHULMAN MD

Internal Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

RODRIGO ROXAS MD

Family Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3777

KERRY RIKER M. D.

Internal Medicine

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

ZACHARY MITCHELL GREENIER PA

Physician Assistant

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

MRS. ADRIENNE MIRANDA EWER FNP

Nurse Practitioner (Family)

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

DINA LEA COLE APRN

Nurse Practitioner (Family)

900 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hailey Blackwood's NPI number?

The NPI number for Hailey Blackwood is 1003586025. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Hailey Blackwood located?

Hailey Blackwood practices at 900 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3300.

What is Hailey Blackwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hailey Blackwood enrolled in Medicare?

Yes. Hailey Blackwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Hailey Blackwood affiliated with any hospitals?

According to CMS data, Hailey Blackwood is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Hailey Blackwood was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.