SANDRA L BLAKE FNP
NPI 1043151566
Nurse Practitioner - Primary Care in Greensboro, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra L Blake Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
GREENSBORO, NC 27401
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 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.
Where is Sandra Blake located?
Sandra Blake practices at 301 E Wendover Ave Ste 200, Greensboro, NC 27401. The listed phone number is (336) 274-3241.
What is Sandra Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sandra Blake enrolled in Medicare?
Yes. Sandra Blake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Blake reassigns Medicare benefits to Eagle Physicians And Associates PA (Greensboro, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Blake accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sandra Blake 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 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 7 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.
# Sandra L Blake, FNP · NPI 1043151566
Primary Care physician in Greensboro, North Carolina. Individual provider, active in the CMS NPPES registry since April 1, 2026.
## Identity
- **NPI:** 1043151566 (Entity type: Individual)
- **Enumerated:** April 1, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 388248 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E WENDOVER AVE STE 200, Greensboro, NC 27401-1232
- **Phone:** (336) 274-3241
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eagle Physicians And Associates PA (NPI 1164595757, Greensboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043151566) · Data from the CMS NPPES public registry.