MRS. TARA RENE BLACKWELDER NP-C
NPI 1831526557
Nurse Practitioner - Family in Cannon Afb, NM
About Mrs. Tara Rene Blackwelder Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA RENE BLACKWELDER NP-C (NPI 1831526557) is an individual family provider in Cannon Afb, New Mexico, licensed in Nebraska (115187) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Chi Health Immanuel, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Tara Rene Blackwelder Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Tara Blackwelder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68154
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Immanuel
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANNON AFB, NM 88103
CANNON AFB, NM 88103
CANNON AFB, NM 88103
CANNON AFB, NM 88103
CANNON AFB, NM 88103
CANNON AFB, NM 88103
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 Tara Blackwelder's NPI number?
The NPI number for Tara Blackwelder is 1831526557. It was assigned to this individual provider in the NPPES registry on September 27, 2013.
Where is Tara Blackwelder located?
Tara Blackwelder practices at 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103. The listed phone number is (575) 784-2778.
What is Tara Blackwelder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Blackwelder enrolled in Medicare?
Yes. Tara Blackwelder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tara Blackwelder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Blackwelder reassigns Medicare benefits to Alegent Creighton Clinic (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Blackwelder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Blackwelder accept?
Health plans from Oscar Insurance Company list Tara Blackwelder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tara Blackwelder affiliated with any hospitals?
According to CMS data, Tara Blackwelder is affiliated with Chi Health Immanuel.
When was this NPI record last updated?
The NPPES record for Tara Blackwelder was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Tara Rene Blackwelder, NP-C · NPI 1831526557
Family physician in Cannon Afb, New Mexico. Individual provider, active in the CMS NPPES registry since September 27, 2013.
## Identity
- **NPI:** 1831526557 (Entity type: Individual)
- **Enumerated:** September 27, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 115187 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 224 W D. L. INGRAM AVENUE, BLDG. 1408, Cannon Afb, NM 88103-5014
- **Phone:** (575) 784-2778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alegent Creighton Clinic (NPI 1154680700, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831526557) · Data from the CMS NPPES public registry.