KATE BLAKE NP
NPI 1073391025
Nurse Practitioner in Salt Lake City, UT
About Kate Blake Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATE BLAKE NP (NPI 1073391025) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Washington (AP70010852) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kate Blake Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kate Blake reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sedro Woolley, WA 98284
- Reassigned Medicare billing, Washington enrollment
- 106 clinicians in this Medicare group
Sedro Woolley, WA 98284
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1548698806 (Washington)
- 76 clinicians in this Medicare group
Bellingham, WA 98225
- Reassigned Medicare billing, Washington enrollment
- 390 clinicians in this Medicare group
Friday Harbor, WA 98250
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1487917233 (Washington)
- 92 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bellingham, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 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.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Kate Blake's NPI number?
The NPI number for Kate Blake is 1073391025. It was assigned to this individual provider in the NPPES registry on September 20, 2023. The provider is also known as Kate Green.
Where is Kate Blake located?
Kate Blake practices at 1950 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 587-7000.
What is Kate Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kate Blake enrolled in Medicare?
Yes. Kate 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.
Which organizations bill Medicare for Kate Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kate Blake reassigns Medicare benefits to 4 organizations: Peacehealth Medical Group - Sedro Woolley (Sedro Woolley, WA), Peacehealth (Sedro Woolley, WA), Peacehealth (Bellingham, WA) and Peacehealth (Friday Harbor, WA). 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 Kate Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kate Blake accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kate 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 Kate Blake affiliated with any hospitals?
According to CMS data, Kate Blake is affiliated with St Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Kate Blake was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kate Blake, NP · NPI 1073391025
Nurse Practitioner physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 20, 2023.
## Identity
- **NPI:** 1073391025 (Entity type: Individual)
- **Enumerated:** September 20, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP70010852 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112-5500
- **Phone:** (801) 587-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Peacehealth Medical Group - Sedro Woolley (NPI 1407283179, Sedro Woolley, WA); Peacehealth (NPI 1144664954, Sedro Woolley, WA); Peacehealth (NPI 1356309553, Bellingham, WA); Peacehealth (NPI 1508129842, Friday Harbor, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073391025) · Data from the CMS NPPES public registry.