SANDRA L BLAKE FNP
NPI 1043151566
Nurse Practitioner - Primary Care in Greensboro, NC

Q: What is Sandra Blake's NPI number?

The NPI number for Sandra Blake is 1043151566. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Q: What is Sandra Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Blake was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since April 01, 2026PECOS Enrolled

301 E WENDOVER AVE STE 200, GREENSBORO, NC 27401(336) 274-3241 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sandra L Blake Fnp NPPES

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

SANDRA L BLAKE FNP (NPI 1043151566) is an individual primary care provider in Greensboro, North Carolina, licensed in North Carolina (388248) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043151566

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSANDRA L BLAKECredential: FNP

Location Address301 E WENDOVER AVE STE 200Greensboro, NC 27401-1232

Mailing Address301 E Wendover Ave Ste 200Greensboro, NC 27401-1232

Phone(336) 274-3241

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 1, 2026

NPPES CertifiedApril 1, 2026

✔ NPI 1043151566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in NC · 388248

301 E WENDOVER AVE STE 200, Greensboro, NC 27401

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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 (PECOS)

Sandra L Blake Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779054093

PECOS Enrollment IDI20260608003304

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 27401 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 13

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

RUPASHREE VARADARAJAN M.D.

Internal Medicine