Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine Romero, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1164045225

Blaine Romero, AGACNP-BC is a Nurse Practitioner in Peoria, Arizona. Qualified in 2019, 7 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

13640 N Plaza Del Rio Blvd Ste 340
Peoria, AZ 85381-4846
Phone: (623) 876-3840
Fax: (623) 285-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 237236 (AZ)

Record details

NPI number1164045225
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 24, 2020
Last updated in NPPESMay 24, 2020
Certification dateMay 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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