BLAKE WOLLAM
NPI 1013643048
Nurse Practitioner - Family in Mentor, OH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment

7060 WAYSIDE DR, MENTOR, OH 44060(440) 357-2770 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Blake Wollam NPPES

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

BLAKE WOLLAM (NPI 1013643048) is an individual family provider in Mentor, Ohio, licensed in Ohio (APRN.CNP.0031396) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with South Pointe Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013643048

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBLAKE WOLLAM

Location Address7060 WAYSIDE DRMentor, OH 44060-6527

Mailing Address2157 Lakeland AveLakewood, OH 44107-5715 · (740) 457-6815

Phone(440) 357-2770

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 1, 2022

NPPES CertifiedJuly 31, 2022

✔ NPI 1013643048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0031396

7060 WAYSIDE DR, Mentor, OH 44060

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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

Blake Wollam 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 ID6103202023

PECOS Enrollment IDI20220929003688

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services42 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

25 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360144

Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

ROBERT J NICKODEM JR. M.D.

Orthopaedic Surgery

7060 WAYSIDE DR, MTR1/-102
MENTOR, OH 44060

Lake County (440) 357-2770

SALLY S BLUM PA

Physician Assistant (Medical)