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BENJAMIN BLAKE PA-C
NPI 1053806539
Physician Assistant in Neodesha, KS

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
2600 OTTAWA RD, NEODESHA, KS 66757(620) 325-2611(620) 325-8453 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Jun 26, 2018 (2 updates tracked since 2018).

About Benjamin Blake Pa-c NPPES

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

BENJAMIN BLAKE PA-C (NPI 1053806539) is an individual physician assistant in Neodesha, Kansas, licensed in (15-02102) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Caldwell Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053806539
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN BLAKECredential: PA-C
Location Address2600 OTTAWA RDNeodesha, KS 66757-1897
Mailing AddressPo Box 360Neodesha, KS 66757-0360 · (620) 325-2611 · Fax (620) 325-8453
Phone(620) 325-2611
Fax(620) 325-8453
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1053806539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 15-02102
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2600 OTTAWA RD, Neodesha, KS 66757
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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

Benjamin Blake Pa-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 ID9234486853
PECOS Enrollment IDI20180727000063
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Regional Medical Center

Critical Access Hospitals · Caldwell, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171329
Location761 W 175th St SCaldwell, KS 67022 · Sumner County
Emergency services

Wilson Medical Center

Critical Access Hospitals · Neodesha, KS
OwnershipGovernment - Local
CMS Certification Number171344
Location2600 Ottawa RoadNeodesha, KS 66757 · Wilson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66757 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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 12

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

SEK PRIMARY CARE ASSOC, LLC
Family Medicine
2600 OTTAWA RD, SUITE 101
NEODESHA, KS 66757
Wilson County (620) 325-2500
CARTER W ODELL DPT
Clinic/Center (Physical Therapy)
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 325-2611
CANCER CENTER OF KANSAS, PA
Internal Medicine (Hematology & Oncology)
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 331-4099
KRISTOPHER E KUSZAK PA
Physician Assistant
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 325-2611
REBECCA GRAVES APRN
Nurse Practitioner (Adult Health)
2600 OTTAWA RD, POB 360
NEODESHA, KS 66757
Wilson County (620) 325-2611
SHAWN ERIC RAYMOND APRN
Nurse Practitioner (Family)
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 325-2611
WILSON COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 325-2611
WILSON COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
2600 OTTAWA RD
NEODESHA, KS 66757
Wilson County (620) 325-2611

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 Benjamin Blake's NPI number?

The NPI number for Benjamin Blake is 1053806539. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Benjamin Blake located?

Benjamin Blake practices at 2600 Ottawa Rd, Neodesha, KS 66757. The listed phone number is (620) 325-2611.

What is Benjamin Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Blake enrolled in Medicare?

Yes. Benjamin Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Blake accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Benjamin 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.

Is Benjamin Blake affiliated with any hospitals?

According to CMS data, Benjamin Blake is affiliated with Caldwell Regional Medical Center and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Blake was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.