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

Q: 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.

Q: What is Blaire Mamac-kaalekahi's specialty?

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

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: August 09, 2026.

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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

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Other Names 1

Former Name (1)Blaire Tokomaata

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)