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STEPHANIE LYNN BLACKMER
NPI 1194662189
Nurse Practitioner - Family in Massena, NY

Active since April 29, 2026PECOS Enrolled
89 GROVE ST, MASSENA, NY 13662(315) 769-2494 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Lynn Blackmer NPPES

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

STEPHANIE LYNN BLACKMER (NPI 1194662189) is an individual family provider in Massena, New York, licensed in New York (F04260402) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194662189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE LYNN BLACKMER
Location Address89 GROVE STMassena, NY 13662-2615
Mailing Address480 County Route 4Ogdensburg, NY 13669-5324 · (315) 769-2494
Phone(315) 769-2494
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1194662189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F04260402
89 GROVE ST, Massena, NY 13662
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Lynn Howard

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lynn Blackmer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13662 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

MARNC OPERATING LLC
Skilled Nursing Facility
89 GROVE ST
MASSENA, NY 13662
St. Lawrence County (914) 597-7600
MRS. PATRICIA H. THARRETT MPT
Physical Therapist
89 GROVE ST
MASSENA, NY 13662
St. Lawrence County (315) 769-2494
ST. REGIS NURSING HOME & HEALTH RELATED FACILITY, INC.
Skilled Nursing Facility
89 GROVE ST
MASSENA, NY 13662
St. Lawrence County (315) 769-2494

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 Stephanie Blackmer's NPI number?

The NPI number for Stephanie Blackmer is 1194662189. It was assigned to this individual provider in the NPPES registry on April 29, 2026. The provider is also known as Stephanie Lynn Howard.

Where is Stephanie Blackmer located?

Stephanie Blackmer practices at 89 Grove St, Massena, NY 13662. The listed phone number is (315) 769-2494.

What is Stephanie Blackmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Blackmer enrolled in Medicare?

Yes. Stephanie Blackmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Blackmer was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.