| Mrs Tara Rene Blackwelder, NP-C | |
|
2501 Capehart Rd, Offutt Afb, NE 68113-1043 | |
| (402) 294-6033 | |
| Not Available |
| Full Name | Mrs Tara Rene Blackwelder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831526557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP8238 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Immanuel | Omaha, NE | Hospital |
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara Rene Blackwelder, NP-C 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-6033 | Mrs Tara Rene Blackwelder, NP-C 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-6033 |
Yanni Yang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-232-2273 | |
Dr. Edwin Fernandez Jr., DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-9130 Fax: 402-294-9138 | |
Mrs. Leslie J Moore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-2448 | |
Julie Rae Ostrand, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-7311 | |
Robyn Thiede, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Road, Family Medicine Residency Clinic, Ehrling Bergquist, Offutt Afb, NE 68113 Phone: 402-232-2273 | |
Jody Decker Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113 Phone: 402-294-7401 Fax: 402-232-9398 |