NATHAN BLACKHURST PA
NPI 1952863003
Physician Assistant - Surgical in Chandler, AZ

Q: What is Nathan Blackhurst's NPI number?

The NPI number for Nathan Blackhurst is 1952863003. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Nathan Blackhurst's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Blackhurst was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment

485 S DOBSON RD STE 110, CHANDLER, AZ 85224(480) 728-4470(480) 728-4499 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Jun 4, 2021, Dec 7, 2020 and 3 more (6 updates tracked since 2019).

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About Nathan Blackhurst Pa NPPES

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

NATHAN BLACKHURST PA (NPI 1952863003) is an individual surgical provider in Chandler, Arizona, licensed in Arizona (7553) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952863003

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameNATHAN BLACKHURSTCredential: PA

Location Address485 S DOBSON RD STE 110Chandler, AZ 85224-5600

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4470

Fax(480) 728-4499

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 5, 2019

Last NPPES UpdateJanuary 9, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1952863003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 7553

Also ListedPhysician AssistantTaxonomy 363A00000X · License 7553 (AZ)

485 S DOBSON RD STE 110, Chandler, AZ 85224

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Secondary Practice Location 1

Location 13033 N 44th St Ste 100Phoenix, AZ 85018-7227 · Phone (602) 631-3166 · Fax (602) 631-3162

Other Identifiers 1

MedicaidZ250782AZ

Accepted Insurance

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

Nathan Blackhurst Pa 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 ID6406283852

PECOS Enrollment IDI20200224002049

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 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services14 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

13 services13 patients

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.

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