WILLIAM BLAKE PMHNP-BC
NPI 1093683385
Nurse Practitioner - Psychiatric/Mental Health in Bardstown, KY
About William Blake Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM BLAKE PMHNP-BC (NPI 1093683385) is an individual psychiatric/mental health provider in Bardstown, Kentucky, licensed in Kentucky (4047867) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
William Blake Pmhnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40004 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 William Blake's NPI number?
The NPI number for William Blake is 1093683385. It was assigned to this individual provider in the NPPES registry on October 28, 2025.
Where is William Blake located?
William Blake practices at 110 E Obryan Ave, Bardstown, KY 40004. The listed phone number is (502) 890-9232.
What is William Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is William Blake enrolled in Medicare?
Yes. William 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.
When was this NPI record last updated?
The NPPES record for William Blake was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# William Blake, PMHNP-BC · NPI 1093683385
Psychiatric/Mental Health physician in Bardstown, Kentucky. Individual provider, active in the CMS NPPES registry since October 28, 2025.
## Identity
- **NPI:** 1093683385 (Entity type: Individual)
- **Enumerated:** October 28, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4047867 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 E OBRYAN AVE, Bardstown, KY 40004-1636
- **Phone:** (502) 890-9232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093683385) · Data from the CMS NPPES public registry.