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

Matthew Ryan Blackert, FNP

Individual provider Family Nurse Practitioner · NPI 1689264723

Matthew Ryan Blackert, FNP is a Nurse Practitioner in Canal Fulton, Ohio. Qualified in 2017, 9 years ago. Practices with Beneficial Health Inc, a 3-clinician group. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

6514 Ivyhill Dr NW
Canal Fulton, OH 44614-9432
Phone: (330) 703-0772
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.024115 (OH)

Record details

NPI number1689264723
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing address6514 Ivyhill Dr Nw, Canal Fulton, OH 44614-9432

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Beneficial Health Inc — 3 clinicians
Accepts Medicare assignment Not indicated

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