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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Blake Pmhmp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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
## 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.