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

Mrs. Tara Rene Blackwelder, NP-C

Individual provider Family Nurse Practitioner · NPI 1831526557

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.

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Practice location Address checks out

224 W D L Ingram Ave Bldg 1408
Cannon AFB, NM 88103-5014
Phone: (575) 784-2778
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 115187 (NE)

Record details

NPI number1831526557
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2013
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
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