Nathan Blackhurst, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

7553 Issued in AZ

Practice address

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600

Phone

(480) 728-4470

Fax

(480) 728-4499

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Sjhmc Physician Services

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1326098005

  AZ

  Medicare reassignment Care Compare group
• Arizona Advanced Surgery LLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1346880838

  AZ

  Medicare reassignment
• Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1770812828

  AZ

  Medicare reassignment
• St. Joseph'S Hospital and Medical Center

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1255382412

  AZ

  Medicare reassignment
• Orthopedic Specialists of North America PLLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427561893
  NPD
• Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
  • NPI 1962292870
  NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1952863003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD STE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245600",
            "telephone_number": "480-728-4470",
            "fax_number": "480-728-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 N 44th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850187227",
            "country_code": "US",
            "telephone_number": "602-631-3166",
            "fax_number": "602-631-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKHURST",
        "first_name": "NATHAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7553",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "7553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z250782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Black Berry Behavioral Health LLC
• Black Family and Child Services Inc
• Black Family and Child Services Inc
• Ashley Nicole Black
• Baylee Blackhurst
• Blackwell Dentistry LLC
• Chad Richard Blackwell, DMD
• Sheri Lynn Blair-Scovill, COTA/L
• Brandon Blair, DPT
• Christina Blair, LPC

• All providers in Chandler, AZ
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.