MR. BLAKE ALAN GRANT PMHNP-BC
NPI 1003522293
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment
4005 BANISTER LN STE 200C, AUSTIN, TX 78704(512) 328-7222 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jan 30, 2023 (2 updates tracked since 2023).

About Mr. Blake Alan Grant Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BLAKE ALAN GRANT PMHNP-BC (NPI 1003522293) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (1109094) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2022).

NPPES Registry Identity

NPI1003522293
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BLAKE ALAN GRANTCredential: PMHNP-BC
Location Address4005 BANISTER LN STE 200CAustin, TX 78704-8077
Mailing Address4005 Banister Ln Ste 200cAustin, TX 78704-8077 · (806) 893-1778
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2022
Enumeration DateJanuary 30, 2023
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1003522293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1109094
4005 BANISTER LN STE 200C, Austin, TX 78704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Blake Alan Grant Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729509617
PECOS Enrollment IDI20250307001749, I20250425001180, I20260605001977
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4005 BANISTER LN STE 200C
AUSTIN, TX 78704
Psychiatry & Neurology (Psychiatry)
4005 BANISTER LN STE 200C
AUSTIN, TX 78704
Nurse Practitioner (Psychiatric/Mental Health)
4005 BANISTER LN STE 200C
AUSTIN, TX 78704
Psychiatry & Neurology (Psychiatry)
4005 BANISTER LN STE 200C
AUSTIN, TX 78704
Nurse Practitioner (Psychiatric/Mental Health)
4005 BANISTER LN STE 200C
AUSTIN, TX 78704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Grant's NPI number?

The NPI number for Blake Grant is 1003522293. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Blake Grant located?

Blake Grant practices at 4005 Banister Ln Ste 200C, Austin, TX 78704. The listed phone number is (512) 328-7222.

What is Blake Grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blake Grant enrolled in Medicare?

Yes. Blake Grant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blake Grant accept?

Health plans from Blue Cross and Blue Shield of Texas list Blake Grant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Grant was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.