Blair Ezbicki, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9202291 Issued in FL

Practice address

1001 SE Monterey CMNS
Stuart, FL 34996-3329

Phone

(772) 286-9400

NPI assigned

Jun 13, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Blair Stallworth Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health at Home Home health agency, Port Saint Lucie, FL, CCN 109028
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• CCN 100366 Hospital, CCN 100366

Merit-based Incentive Payment System (MIPS)

Final score

89.96 of 100Reported as group

Quality

88.17

Promoting interoperability

100

Improvement activities

40

Cost

78.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blair.ezbickiarnp.p1@direct.scg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Stuart Cardiology Group LLC

  dba Flcvp

  • Cardiovascular Disease Physician
  • Stuart, FL
  • NPI 1871603332
  Medicare reassignment Care Compare group NPD

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

• Florida Coast Medical and Surgical Center, Inc.

  dba Florida Coast Medical Center

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1003618406
  Care Compare affiliation
• HH Stuart LLC

  dba Health at Home

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1417163403
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  dba Cleveland Clinic Indian River Hospital

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1326497140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY CMNS",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-878-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY CMNS",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZBICKI",
        "first_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9202291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "STALLWORTH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy E. Eversole, M.D.
• Everyone Works
• Juninho Exavier
• Eye Wear of Stuart Inc
• Abigail Makonnen Eyoalle
• Ijeoma I Eze
• Bradley Kelechi Ezike
• F & L Care at Home Services
• Ahmad Fadel, MD
• Sarah J Fairbrother

• Family Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.