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

MAURICE ELLIS BLACKBIRD DNP, APRN, FNP-BC
NPI 1821861840
Nurse Practitioner - Primary Care in Winnebago, NE

Q: What is Maurice Blackbird's NPI number?

The NPI number for Maurice Blackbird is 1821861840. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Q: What is Maurice Blackbird's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Maurice Blackbird was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 01, 2023PECOS EnrolledAccepts Medicare Assignment

225 BLUFF ST, WINNEBAGO, NE 68071(402) 745-3950(402) 243-1310 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Nov 1, 2023 (2 updates tracked since 2023).

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About Maurice Ellis Blackbird Dnp, Aprn, Fnp-bc NPPES

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

MAURICE ELLIS BLACKBIRD DNP, APRN, FNP-BC (NPI 1821861840) is an individual primary care provider in Winnebago, Nebraska, licensed in Nebraska (114952) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS, is affiliated with Twelve Clans Unity Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821861840

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMAURICE ELLIS BLACKBIRDCredential: DNP, APRN, FNP-BC

Location Address225 BLUFF STWinnebago, NE 68071-9703

Mailing AddressPo Box 213Rosalie, NE 68055-0213 · (712) 635-5459

Phone(402) 745-3950

Fax(402) 243-1310

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 1, 2023

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1821861840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in NE · 114952

225 BLUFF ST, Winnebago, NE 68071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.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

Maurice Ellis Blackbird Dnp, Aprn, Fnp-bc 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 ID8628428968

PECOS Enrollment IDI20240612003022

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

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Twelve Clans Unity Hospital

Acute Care Hospitals · Winnebago, NE

OwnershipTribal

CMS Certification Number280059

Location225 S Bluff StreetWinnebago, NE 68071 · Thurston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68071 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 9

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

JACOB JENSEN

Pharmacist (Ambulatory Care)