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

Nicole P Blackwood, CRNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1609857572

Nicole P Blackwood, CRNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 1990, 36 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
36
Licensed in
MN
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2925 Chicago Ave Mail Route 10735
Minneapolis, MN 55407-1321
Phone: (612) 262-7800
Fax: (612) 262-7022
Show map & directions

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

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence 7298 (MN)

Record details

NPI number1609857572
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedNovember 8, 2005
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minneapolis