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

Stephanie Elizabeth Blackmore, FNP

Individual provider Family Nurse Practitioner · NPI 1366052771

Stephanie Elizabeth Blackmore, FNP is a Nurse Practitioner in Surprise, Arizona. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

14961 W Bell Rd Ste 100
Surprise, AZ 85374-3203
Phone: (623) 439-5176
Fax: (855) 583-1420
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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 245687 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 245687 (AZ)

Record details

NPI number1366052771
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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