NPIMap

Individual provider Active NPI

Susan Michelle Blizzard

  • Family Nurse Practitioner
  • Homer, AK
National Provider Identifier
1114438124
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9217611 Issued in FL
Practice address
323 W Danview Ave Ste 201
Homer, AK 99603-7028
Phone
(907) 235-7000
Fax
(907) 235-4050
NPI assigned
Oct 17, 2017
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9217611 FL Primary

Addresses

Primary practice location

323 W Danview Ave Ste 201
Homer, AK 99603-7028

Mailing address

510 W Tudor Rd Ste 5
Anchorage, AK 99503-6649
Phone (907) 235-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311000686 AK Practitioner - Nurse Practitioner 4880951581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchorage Sleep Center LLCGroup PAC ID 5890964746, 11 clinicians

Practice addresses (Care Compare)

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 743-0050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9217611FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center CurrentSince Feb 3, 2021 Accepting new patients
Anchorage Sleep Center, LLC CurrentSince Feb 3, 2021 Accepting new patients

Locations

510 W Tudor Rd
Ste 5
Anchorage, AK 99503
Phone (907) 743-0050

323 W Danview Ave
Ste 201
Homer, AK 99603
Phone (907) 235-7000

Organizations & group practices 2

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

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1114438124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD STE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-235-7000",
            "fax_number": "907-235-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W DANVIEW AVE STE 201",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037028",
            "telephone_number": "907-235-7000",
            "fax_number": "907-235-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9217611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.