AMBER LAUREN BLACKNALL DNP, PMHNP
NPI 1447967435
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since October 31, 2022Opted out of Medicare · through Sep 18, 2026
6612 GULTON CT NE, ALBUQUERQUE, NM 87109(505) 316-5966 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Nov 29, 2022, Oct 31, 2022 (3 updates tracked since 2022).

About Amber Lauren Blacknall Dnp, Pmhnp NPPES

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

AMBER LAUREN BLACKNALL DNP, PMHNP (NPI 1447967435) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (70510) and active in the NPI registry since October 2022. She has opted out of Medicare through September 18, 2026 and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1447967435
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMBER LAUREN BLACKNALLCredential: DNP, PMHNP
Location Address6612 GULTON CT NEAlbuquerque, NM 87109-4407
Mailing Address500 Marquette Ave Nw Ste 1219Albuquerque, NM 87102-5340 · (505) 316-5966 · Fax (505) 422-4073
Sole ProprietorYes
Enumeration DateOctober 31, 2022
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
NPI 1447967435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · 70510
6612 GULTON CT NE, Albuquerque, NM 87109

Secondary Practice Location 1

Location 1500 Marquette Ave NW Ste 1219Albuquerque, NM 87102-5340 · Phone (505) 316-5966

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amber Lauren Blacknall Dnp, Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
6612 GULTON CT NE
ALBUQUERQUE, NM 87109
Counselor (Professional)
6612 GULTON CT NE
ALBUQUERQUE, NM 87109
Social Worker (Clinical)
6612 GULTON CT NE
ALBUQUERQUE, NM 87109
Counselor (Professional)
6612 GULTON CT NE
ALBUQUERQUE, NM 87109
Counselor (Professional)
6612 GULTON CT NE
ALBUQUERQUE, NM 87109
Counselor (Professional)
6612 GULTON CT NE
ALBUQUERQUE, NM 87109

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 Amber Blacknall's NPI number?

The NPI number for Amber Blacknall is 1447967435. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Amber Blacknall located?

Amber Blacknall practices at 6612 Gulton Ct NE, Albuquerque, NM 87109. The listed phone number is (505) 316-5966.

What is Amber Blacknall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amber Blacknall enrolled in Medicare?

No. Amber Blacknall has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amber Blacknall was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.