MRS. TARA RENE BLACKWELDER NP-C
NPI 1831526557
Nurse Practitioner - Family in Cannon Afb, NM

Active since September 27, 2013PECOS EnrolledAccepts Medicare Assignment
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103(575) 784-2778 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2025, Jul 10, 2023, Aug 20, 2020 and 1 more (4 updates tracked since 2018).

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 Bergan Mercy, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831526557
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TARA RENE BLACKWELDERCredential: NP-C
Location Address224 W D. L. INGRAM AVENUE, BLDG. 1408Cannon Afb, NM 88103-5014
Mailing Address27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408Cannon Afb, NM 88103-5014 · (575) 784-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 27, 2013
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1831526557 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 NE · 115187
224 W D. L. INGRAM AVENUE, BLDG. 1408, Cannon Afb, NM 88103

Accepted 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

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.

PECOS PAC ID1951830751
PECOS Enrollment IDI20250123002047
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.

Hospital Affiliations CMS Care Compare 2

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 11

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

Social Worker (Clinical)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Counselor (Professional)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Social Worker (Clinical)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Optometrist
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Physical Therapist (Orthopedic)
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Family Medicine
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Registered Nurse
224 W D. L. INGRAM AVENUE, BLDG. 1408
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.

What insurance does Tara Blackwelder accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and 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 Bergan Mercy and 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 with the weekly NPPES data releases published by CMS.