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BLAIRE MAMAC-KAALEKAHI FNP-C
NPI 1962396192
Nurse Practitioner - Family in Phoenix, AZ

Active since June 04, 2025PECOS Enrolled
337 E VIRGINIA AVE UNIT B, PHOENIX, AZ 85004(602) 424-2060 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blaire Mamac-kaalekahi Fnp-c NPPES

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

BLAIRE MAMAC-KAALEKAHI FNP-C (NPI 1962396192) is an individual family provider in Phoenix, Arizona, licensed in Arizona (F05250772) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962396192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAIRE MAMAC-KAALEKAHICredential: FNP-C
Location Address337 E VIRGINIA AVE UNIT BPhoenix, AZ 85004-1220
Mailing Address3216 N 3rd StPhoenix, AZ 85012-2682
Phone(602) 424-2060
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1962396192 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 AZ · F05250772
337 E VIRGINIA AVE UNIT B, Phoenix, AZ 85004
Open in Google Maps ↗

Other Names 1

Former Name (1)Blaire Tokomaata

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blaire Mamac-kaalekahi Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739673237
PECOS Enrollment IDI20251211002556
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.

Medicare Billing Reassignment

Medicare enrollment records show Blaire Mamac-kaalekahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
882 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

SONYA BROOKS LCSW
Social Worker (Clinical)
337 E VIRGINIA AVE UNIT B
PHOENIX, AZ 85004
Maricopa County (602) 424-2060
SONIA SABERHAGEN LCSW
Social Worker (Clinical)
337 E VIRGINIA AVE UNIT B
PHOENIX, AZ 85004
Maricopa County (602) 254-3247
NATIVE AMERICAN CONNECTIONS
Clinic/Center (Mental Health (Including Community Mental Health Center))
337 E VIRGINIA AVE UNIT B
PHOENIX, AZ 85004
Maricopa County (602) 254-3247
MICHELE HORNER
Counselor (Addiction (Substance Use Disorder))
337 E VIRGINIA AVE UNIT B
PHOENIX, AZ 85004
Maricopa County (602) 424-2060
NATIVE AMERICAN CONNECTIONS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
337 E VIRGINIA AVE UNIT B
PHOENIX, AZ 85004
Maricopa County (602) 424-2060

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 Blaire Mamac-kaalekahi's NPI number?

The NPI number for Blaire Mamac-kaalekahi is 1962396192. It was assigned to this individual provider in the NPPES registry on June 4, 2025. The provider is also known as Blaire Tokomaata.

Where is Blaire Mamac-kaalekahi located?

Blaire Mamac-kaalekahi practices at 337 E Virginia Ave Unit B, Phoenix, AZ 85004. The listed phone number is (602) 424-2060.

What is Blaire Mamac-kaalekahi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blaire Mamac-kaalekahi enrolled in Medicare?

Yes. Blaire Mamac-kaalekahi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Blaire Mamac-kaalekahi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaire Mamac-kaalekahi reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Blaire Mamac-kaalekahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaire Mamac-kaalekahi accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Blaire Mamac-kaalekahi 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.

When was this NPI record last updated?

The NPPES record for Blaire Mamac-kaalekahi was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.