Healthful Healthcare PLLC
NPI 1811603202 · Primary Care Nurse Practitioner · Surprise, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healthful Healthcare PLLC is a Primary Care Nurse Practitioner organization in Surprise, AZ (NPI 1811603202).
Provider details
- NPI number
- 1811603202
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephanie Blackmore, Owner/ Nurse Practitioner(623) 439-5176
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Healthful Healthcare PLLC's NPI number?
- Healthful Healthcare PLLC's National Provider Identifier (NPI) is 1811603202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthful Healthcare PLLC?
- Healthful Healthcare PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Healthful Healthcare PLLC located?
- Healthful Healthcare PLLC's practice location on file with NPPES is 14961 W Bell Rd Ste 100, Surprise, AZ 85374-3203.
- What is Healthful Healthcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Healthful Healthcare PLLC is (623) 439-5176.
- Does Healthful Healthcare PLLC accept Medicare?
- Healthful Healthcare PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healthful Healthcare PLLC?
- The authorized official listed on Healthful Healthcare PLLC's NPPES record is Stephanie Blackmore, Owner/ Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthful Healthcare PLLC's NPI active?
- Yes — Healthful Healthcare PLLC's NPI (1811603202) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.