STEPHANIE MCCALLUM BLAKE MSN, NNP-BC
NPI 1053585638
Nurse Practitioner - Neonatal in Durham, NC

Active since April 15, 2008PECOS Enrolled
2301 ERWIN RD, DURHAM, NC 27705(919) 681-5551 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Aug 11, 2023, May 22, 2023 (3 updates tracked since 2023).

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

NPI1053585638
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameSTEPHANIE MCCALLUM BLAKECredential: MSN, NNP-BC
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address201 E Center St Apt 401Mebane, NC 27302-2577 · (919) 423-6885
Sole ProprietorNo
Enumeration DateApril 15, 2008
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1053585638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in NC · 122339
Also ListedNurse PractitionerTaxonomy 363L00000X · License 930229 (NC)
2301 ERWIN RD, Durham, NC 27705

Secondary Practice Locations 3

Location 1Baptist Medical Center, 1 Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-7265
Location 22131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-4620 · Fax (910) 667-4639
Location 32100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 847-4378 · Fax (252) 847-9943

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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 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.

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 20

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

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
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.

What insurance does Stephanie Blake accept?

Health plans from Blue Cross and Blue Shield of NC list Stephanie 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 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 20 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.