Mrs. Tara Rene Blackwelder, NP-C
Mrs. Tara Rene Blackwelder, NP-C is a Nurse Practitioner in Cannon AFB, New Mexico. Qualified in 2015, 11 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Nebraska.
- Years since qualifying
- 11
- Licensed in
- NE
- In the registry since
- 2013
What do these letters mean?
- NP-C — Nurse Practitioner, Certified
- A nurse practitioner certified by the AANP.
Practice location Address checks out
224 W D L Ingram Ave Bldg 1408Cannon AFB, NM 88103-5014
Phone: (575) 784-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 115187 (NE) |
|---|
Record details
| NPI number | 1831526557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP-C |
| Sole proprietor | No |
| NPI enumerated | September 27, 2013 |
| Last updated in NPPES | December 11, 2025 |
| Certification date | December 11, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Alegent Creighton Clinic — 947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Cannon AFB
-
Donna Ong Calla, FNP-BC
224 W D.l Ingram Ave Bldg 1408, Cannon AFB, NM 88103 · (575) 784-2778
-
Miss. Genevieve R Canete
224 W D.l Ingram Ave Bldg 1408, Cannon AFB, NM 88103 · (575) 784-2778
-
Dr. Marissa Manipud Marquez, DNP, FNP, RN
224 W.d L Ingram Ave Bldg 1408, Cannon AFB, NM 88103 · (575) 784-2778