STEPHANIE MCCALLUM BLAKE MSN, NNP-BC
NPI 1053585638
Nurse Practitioner - Neonatal in Durham, NC
About Stephanie Mccallum Blake Msn, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MCCALLUM BLAKE MSN, NNP-BC (NPI 1053585638) is an individual neonatal provider in Durham, North Carolina, licensed in North Carolina (122339) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Mccallum Blake Msn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Stephanie Blake reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lillington, NC 27546
- Reassigned Medicare billing, North Carolina enrollment
- 930 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Morehead City, NC 28557
- Reassigned Medicare billing, North Carolina enrollment
- 283 clinicians in this Medicare group
Morehead City, NC 28557
- Reassigned Medicare billing, North Carolina enrollment
- 86 clinicians in this Medicare group
Manteo, NC 27954
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Outer Banks Professional Services, LLC
- 346 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 27705 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27705
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 Stephanie Blake's NPI number?
The NPI number for Stephanie Blake is 1053585638. It was assigned to this individual provider in the NPPES registry on April 15, 2008.
Where is Stephanie Blake located?
Stephanie Blake practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 681-5551.
What is Stephanie Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Stephanie Blake enrolled in Medicare?
Yes. Stephanie Blake is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stephanie Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Blake reassigns Medicare benefits to 5 organizations: East Carolina University (Lillington, NC), Vidant Medical Group LLC (Greenville, NC), Carteret County General Hospital Corporation (Morehead City, NC), Carteret Medical Group LLC (Morehead City, NC) and Outerbanks Professional Services LLC (Manteo, NC). Each 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 Stephanie Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Blake was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Stephanie Mccallum Blake, MSN, NNP-BC · NPI 1053585638
Neonatal physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since April 15, 2008.
## Identity
- **NPI:** 1053585638 (Entity type: Individual)
- **Enumerated:** April 15, 2008
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 122339 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 ERWIN RD, Durham, NC 27705-4699
- **Phone:** (919) 681-5551
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): East Carolina University (NPI 1942633482, Lillington, NC); Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Carteret County General Hospital Corporation (NPI 1184951840, Morehead City, NC); Carteret Medical Group LLC (NPI 1700164464, Morehead City, NC); Outerbanks Professional Services LLC (NPI 1457686891, Manteo, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1053585638) · Data from the CMS NPPES public registry.