Maurice Ellis Blackbird, DNP, APRN, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

114952 Issued in NE

Practice address

225 Bluff St
Winnebago, NE 68071-9703

Phone

(402) 745-3950

Fax

(402) 243-1310

NPI assigned

Nov 1, 2023

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Twelve Clans Unity Hospital Hospital, Winnebago, NE, CCN 280059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Winnebago Tribe of Nebraska

  dba Winnebago Comprehensive Healthcare Systems

  • Clinic/Center
  • Winnebago, NE
  • NPI 1033608328

  TX

  Medicare reassignment Care Compare group NPD
• Winnebago Tribe of Nebraska

  dba Winnebago Tribal Rescue and Ambulance

  • Land Ambulance
  • Winnebago, NE
  • NPI 1295720811
  NPD
• Winnebago Tribe of Nebraska

  dba Twelve Clans Unity Hospital

  • General Acute Care Hospital
  • Winnebago, NE
  • NPI 1689150112
  NPD

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

• Winnebago Tribe of Nebraska

  dba Twelve Clans Unity Hospital

  • General Acute Care Hospital
  • Winnebago, NE
  • NPI 1689150112
  Care Compare affiliation

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1821861840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "ROSALIE",
            "state": "NE",
            "postal_code": "680550213",
            "telephone_number": "712-635-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BLUFF ST",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680719703",
            "telephone_number": "402-745-3950",
            "fax_number": "402-243-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBIRD",
        "first_name": "MAURICE",
        "middle_name": "ELLIS",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "114952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Marie Barclay, LPN
• Paula Ann Bennett, M.D.
• Reniah Jayd Bigfire
• Tiffany Bigfire
• Ashleen Lee Blackbird, DNP, APRN, FNP-C
• Shelby Rae Boschult, PHARMD
• James Nathanial Bower, PHARMD
• Caleb Breece
• Geniva Scott Doenhoefer, LADC
• Elaine Roberta Earth

• Primary Care Nurse Practitioner in Winnebago, NE
• Providers in Winnebago, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.