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

Hailey E Blackwood, FNPC

Individual provider Nurse Practitioner · NPI 1003586025

Hailey E Blackwood, FNPC is a Nurse Practitioner in Bangor, Maine. Qualified in 2021, 5 years ago. Practices with St Joseph Hospital, a 196-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021

Practice location Address checks out

900 Broadway
Bangor, ME 04401-1900
Phone: (207) 907-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP211487 (ME)

Record details

NPI number1003586025
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPC
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address900 Broadway, Bangor, ME 04401-1900

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bangor