JASON BLAKE PMHMP-BC
NPI 1083267348
Nurse Practitioner - Psychiatric/Mental Health in Cleveland, OH
About Jason Blake Pmhmp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON BLAKE PMHMP-BC (NPI 1083267348) is an individual psychiatric/mental health provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.024969) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Blake Pmhmp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jason Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Ohio enrollment
- 725 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 44106 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.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Jason Blake's NPI number?
The NPI number for Jason Blake is 1083267348. It was assigned to this individual provider in the NPPES registry on July 16, 2019.
Where is Jason Blake located?
Jason Blake practices at 10701 East Blvd, Cleveland, OH 44106. The listed phone number is (216) 791-3800.
What is Jason Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jason Blake enrolled in Medicare?
Yes. Jason Blake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jason Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Blake reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Jason Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Blake accept?
Health plans from UnitedHealthcare list Jason 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 Jason Blake was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Jason Blake, PMHMP-BC · NPI 1083267348
Psychiatric/Mental Health physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since July 16, 2019.
## Identity
- **NPI:** 1083267348 (Entity type: Individual)
- **Enumerated:** July 16, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.024969 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10701 EAST BLVD, Cleveland, OH 44106-1702
- **Phone:** (216) 791-3800
## 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:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083267348) · Data from the CMS NPPES public registry.