Healthful Healthcare PLLC
NPI 1811603202ActiveOrganization· Nurse Practitioner, Primary Care· Surprise, AZ
Nurse Practitioner, Primary Care in Surprise, Arizona, registered in NPPES in January 2023. The authorized official on file is Stephanie Blackmore, APRN, Owner/ Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811603202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2023 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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