DEBRA SUSAN BLAKER FNP
NPI 1104906981
Nurse Practitioner - Family in Eugene, OR

Q: What is Debra Blaker's NPI number?

The NPI number for Debra Blaker is 1104906981. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Debra Blaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Debra Blaker enrolled in Medicare?

No. Debra Blaker has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Debra Blaker was last updated on November 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2006Opted out of Medicare · through Apr 1, 2028

1902 JEFFERSON ST, SUITE 2, EUGENE, OR 97405(541) 284-8882(541) 284-2826 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Debra Susan Blaker Fnp NPPES

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

DEBRA SUSAN BLAKER FNP (NPI 1104906981) is an individual family provider in Eugene, Oregon, licensed in Oregon (090006820N1) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104906981

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBRA SUSAN BLAKERCredential: FNP

Location Address1902 JEFFERSON ST, SUITE 2Eugene, OR 97405-2414

Mailing Address1902 Jefferson St, Suite 2Eugene, OR 97405-2414 · (541) 284-8882 · Fax (541) 284-2826

Phone(541) 284-8882

Fax(541) 284-2826

Sole ProprietorYes

Enumeration DateOctober 16, 2006

Last NPPES UpdateNovember 28, 2017

✔ NPI 1104906981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 090006820N1

1902 JEFFERSON ST, Eugene, OR 97405

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN119349OR

Medicare UPINP20615OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Debra Susan Blaker Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

CHIROPRACTIC PAIN & PREVENTION CENTER P.C.

Clinic/Center

1902 JEFFERSON ST, STE 1
EUGENE, OR 97405

Lane County (541) 687-2772

ALIVE INTEGRATIVE MEDICINE, LLC

Naturopath

1902 JEFFERSON ST, SUITE 1
EUGENE, OR 97405

Lane County (541) 636-3079

MS. MARY ELLEN CARPENTER CNM, FNP

Nurse Practitioner (Family)

1902 JEFFERSON ST, SUITE 2
EUGENE, OR 97405

Lane County (541) 284-8882

BLAKER ENTERPRISES INC

Nurse Practitioner (Family)

1902 JEFFERSON ST, SUITE 2
EUGENE, OR 97405

Lane County (541) 284-8882

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 Debra Blaker's NPI number?

The NPI number for Debra Blaker is 1104906981. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Debra Blaker located?

Debra Blaker practices at 1902 Jefferson St Suite 2, Eugene, OR 97405. The listed phone number is (541) 284-8882.

What is Debra Blaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Debra Blaker enrolled in Medicare?

No. Debra Blaker has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Debra Blaker was last updated on November 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.