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

Marie Blacker Blacker, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1326521543

Marie Blacker Blacker, PMHNP-C is a Nurse Practitioner in Orem, Utah. Qualified in 2021, 5 years ago. Practices with Sweetgrass Psychiatry LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Utah.

Years since qualifying
5
Licensed in
SC, UT
In the registry since
2018
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1125 W Center St
Orem, UT 84057-5207
Phone: (801) 903-5903
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 710 Johnnie Dodds Blvd Ste 200, Mt Pleasant, SC 29464-3045 — (843) 800-1303

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 267381-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 267381-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 28201 (SC)

Record details

NPI number1326521543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address1125 W Center St, Orem, UT 84057-5207

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 Sweetgrass Psychiatry Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orem