Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STORMIE BLACKWELL
NPI 1578418851
Nurse Practitioner - Acute Care in Tulsa, OK

Q: What is Stormie Blackwell's NPI number?

The NPI number for Stormie Blackwell is 1578418851. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Q: What is Stormie Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stormie Blackwell was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 02, 2026PECOS Enrolled

1120 S UTICA AVE, TULSA, OK 74104(918) 579-1000 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Mar 2, 2026 (2 updates tracked since 2026).

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About Stormie Blackwell NPPES

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

STORMIE BLACKWELL (NPI 1578418851) is an individual acute care provider in Tulsa, Oklahoma, licensed in Oklahoma (204956) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578418851

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTORMIE BLACKWELL

Location Address1120 S UTICA AVETulsa, OK 74104-4090

Mailing Address3403 Canterbury AveMuskogee, OK 74403-7756

Phone(918) 579-1000

Sole ProprietorYes

Enumeration DateMarch 2, 2026

Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1578418851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OK · 204956

1120 S UTICA AVE, Tulsa, OK 74104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stormie Blackwell 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 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

BRITTANY BENNETT

Dietitian, Registered