DR. OLIVIA CHARLOTTE BLACKSTONE DO
NPI 1144858077
Obstetrics & Gynecology in Phoenix, AZ

Q: What is Olivia Blackstone's NPI number?

The NPI number for Olivia Blackstone is 1144858077. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Olivia Blackstone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Blackstone was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 March 27, 2020PECOS EnrolledAccepts Medicare Assignment

11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028(602) 494-5050(866) 777-2248 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Mar 27, 2020 (2 updates tracked since 2020).

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About Dr. Olivia Charlotte Blackstone Do NPPES

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

DR. OLIVIA CHARLOTTE BLACKSTONE DO (NPI 1144858077) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (011075) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2020).

NPPES Registry Identity

NPI1144858077

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. OLIVIA CHARLOTTE BLACKSTONECredential: DO

Location Address11209 N TATUM BLVD STE 255Phoenix, AZ 85028-6061

Mailing AddressPo Box 81064Cleveland, OH 44181-0064 · (602) 494-5050 · Fax (866) 777-2248

Phone(602) 494-5050

Fax(866) 777-2248

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1144858077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in AZ · 011075

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11209 N TATUM BLVD STE 255, Phoenix, AZ 85028

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Secondary Practice Location 1

Location 14530 N 32nd St Ste 100Phoenix, AZ 85018-3357 · Phone (602) 498-3912 · Fax (866) 777-2248

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Dr. Olivia Charlotte Blackstone Do 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 ID5395145775

PECOS Enrollment IDI20240711001557

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 9

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

ALLIE KOSENA WHNP-BC

Nurse Practitioner (Women's Health)