OPAL MULLINGS BLAKE NP-C
NPI 1043629140
Nurse Practitioner in Lawrenceville, GA

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment
84.06/100
CMS Quality Rating
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046(770) 995-0630(770) 995-1555 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Opal Mullings Blake Np-c NPPES

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

OPAL MULLINGS BLAKE NP-C (NPI 1043629140) is an individual nurse practitioner in Lawrenceville, Georgia, licensed in Georgia (RN 199200) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043629140
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOPAL MULLINGS BLAKECredential: NP-C
Location Address631 PROFESSIONAL DR STE 350Lawrenceville, GA 30046-3370
Mailing Address631 Professional Dr, Suite 350Lawrenceville, GA 30046 · (770) 995-0630 · Fax (770) 682-0088
Fax(770) 995-1555
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2014
Last NPPES UpdateJanuary 4, 2016
NPI 1043629140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in GA · RN 199200 Licensed in GA · RN199200
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

631 PROFESSIONAL DR STE 350, Lawrenceville, GA 30046

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

Opal Mullings Blake Np-c 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 ID2062633993
PECOS Enrollment IDI20141017002324
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 2

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, 30-39 minutes 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.
55 services37 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.32
Promoting Interoperability100
Improvement Activities40
Cost78.5

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers32 claims32 services$33.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers32 claims32 services$75.77 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers35 claims85 services$29.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims87 services$15.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers23 claims23 services$50.52 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers33 claims33 services$15.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 56% 99
Controlling High Blood Pressure 56% 43
Documentation of Current Medications in the Medical Record 93% 224
e-Prescribing 100% 244
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 84% 134
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 22% 133
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 85
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94% 85
Provide Patients Electronic Access to Their Health Information 83% 90
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
96
Use of High-Risk Medications in Older Adults 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
97
Use of High-Risk Medications in Older Adults 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
97

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Internal Medicine (Pulmonary Disease)
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043629140, enumerated as an "individual" on August 04, 2014.

The provider is located at 631 PROFESSIONAL DR STE 350 LAWRENCEVILLE, GA 30046 and the phone number is (770) 995-0630.

Nurse Practitioner with taxonomy code 363L00000X.