Jenniffer Blair, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lake Havasu City, AZ
NPI 1265804124 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1265804124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 254706 (AZ)
- Practice address
- 309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309 - Phone
- (928) 453-2727
- Fax
- (833) 450-5461
- NPI assigned
- Oct 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lakeside Heart and Vascular Center PLLC
Prescott Healthcare Solutions LLC
Practice addresses (Care Compare)
2082 Mesquite Ave
Suite 100a
Lake Havasu City, AZ 86403-6710
Phone (928) 453-2727
285 Lake Havasu Ave S
Suite 100
Lake Havasu City, AZ 86403-0852
Phone (928) 208-4598
Hospital & facility affiliations
- River Valley Home Health
- Havasu Regional Medical Center
- La Paz Regional Hospital
- Kingman Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240918004666 | AZ | Practitioner - Nurse Practitioner | 6002357902 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Heart and Vascular Center PLLC | Current |
Accepting new patients | |
| Prescott Healthcare Solutions LLC | Family | Current |
Accepting new patients |
Locations
2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499
1753 Airway Ave
Ste A
Kingman, AZ 86409
Phone (520) 757-4359
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403
Phone (928) 453-1970
2082 Mesquite Ave
Lake Havasu City, AZ 86403
285 Lake Havasu Ave S
Ste 100
Lake Havasu City, AZ 86403
Phone (928) 208-4598
309 Lake Havasu Ave S
Ste A
Lake Havasu City, AZ 86403
309 Lake Havasu Ave S
Ste 204
Lake Havasu City, AZ 86403
1830 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (928) 453-4300
2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828
1840 Mesquite Ave
Ste H
Lk Havasu Cty, AZ 86403
Phone (928) 855-4224
297 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-4040
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
Interoperability endpoints
- jenniffer.blair.1@3291.direct.athenahealth.com
- https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 254706 | AZ | Yes |
Addresses
Primary practice location
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Mailing address
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone (928) 453-1970
Other names
- Jenniffer Carter
Other providers in Lake Havasu City, AZ
- Steven Bertovich
- Laurie M Bevans
- Cheryl Billings
- William F Binder
- Richard Joseph Bittner
- Melissa J Blower
- Blue Water Internal Medicine Associates PC
- Kristal Lee Blundell
- Carol Ann Bodman
- Body Mechanix, LLC
All providers in Lake Havasu City, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.