BLAKE J. BECK PA-C
NPI 1104483783
Physician Assistant - Surgical in Issaquah, WA

Q: What is Blake Beck's NPI number?

The NPI number for Blake Beck is 1104483783. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Q: What is Blake Beck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Blake Beck was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 20, 2019PECOS Enrolled

510 8TH AVE NE STE 310, ISSAQUAH, WA 98029(425) 462-5006(425) 462-5019 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 20, 2019 (2 updates tracked since 2019).

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About Blake J. Beck Pa-c NPPES

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

BLAKE J. BECK PA-C (NPI 1104483783) is an individual surgical provider in Issaquah, Washington, licensed in Washington (PA61261831) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1104483783

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameBLAKE J. BECKCredential: PA-C

Location Address510 8TH AVE NE STE 310Issaquah, WA 98029-5436

Mailing Address510 8th Ave Ne Ste 310Issaquah, WA 98029-5436 · (425) 462-5006 · Fax (425) 462-5019

Phone(425) 462-5006

Fax(425) 462-5019

Sole ProprietorNo

Enumeration DateMay 20, 2019

Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1104483783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA61261831

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA56794 (CA), PA61261831 (WA)

510 8TH AVE NE STE 310, Issaquah, WA 98029

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Secondary Practice Location 1

Location 11231 116th Ave NE Ste 915Bellevue, WA 98004-3822 · Phone (425) 454-3938 · Fax (425) 454-2568

Other Identifiers 1

Medicaid2212954WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake J. Beck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

86 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Other Providers at the Same Location NPPES 6

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

PROLIANCE SURGEONS, INC., P.S.

Otolaryngology