Individual provider Active NPI

Mariah Blodgett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1063883064
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP9035 Issued in AZ
Practice address
101 W Irvington Rd
Tucson, AZ 85714-3050
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9035 AZ Primary

Addresses

Primary practice location

101 W Irvington Rd
Tucson, AZ 85714-3050

Mailing address

6700 N Oracle Rd Ste 411
Tucson, AZ 85704-7734

Other practice location 1

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208001646 AZ Practitioner - Nurse Practitioner 3173803152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9035AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Mental Health, PLLC Psychiatric/Mental Health CurrentSince Sep 5, 2019 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 10, 2018 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Oct 10, 2018 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 4, 2021 Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
Banner-University Medical Group Past Accepting new patients
Oro Valley Hospital LLC Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1521 E Tangerine Rd
Ste 315
Oro Valley, AZ 85755
Phone (520) 742-1565

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

6700 N Oracle Rd
Ste 326
Tucson, AZ 85704
Phone (520) 213-9398

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6700 N Oracle Rd
Ste 411
Tucson, AZ 85704
Phone (520) 829-9635

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1063883064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD STE 411",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W IRVINGTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143050",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 E Tangerine Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857556213",
            "country_code": "US",
            "telephone_number": "520-901-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "MARIAH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.