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MR. BLAKE ANDERSON BS, MS, CAA
NPI 1114615390
Anesthesiologist Assistant in Melbourne, FL

Active since April 26, 2023Accepts Medicare Assignment
1775 W HIBISCUS BLVD STE 215, MELBOURNE, FL 32901(321) 837-3820(321) 837-3654 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Blake Anderson Bs, Ms, Caa NPPES

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

MR. BLAKE ANDERSON BS, MS, CAA (NPI 1114615390) is an individual anesthesiologist assistant in Melbourne, Florida and active in the NPI registry since April 2023. He is affiliated with Holmes Regional Medical Center and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114615390
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. BLAKE ANDERSONCredential: BS, MS, CAA
Location Address1775 W HIBISCUS BLVD STE 215Melbourne, FL 32901-2627
Mailing Address1775 W Hibiscus Blvd Ste 215Melbourne, FL 32901-2627 · (321) 837-3820
Phone(321) 837-3820
Fax(321) 837-3654
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1114615390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1775 W HIBISCUS BLVD STE 215, Melbourne, FL 32901
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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

Mr. Blake Anderson Bs, Ms, Caa 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.

PECOS PAC ID7012363724
PECOS Enrollment IDI20231031002945

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Other Providers at the Same Location NPPES 19

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

COREY ALVAREZ M.D.
Emergency Medicine
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
MR. MICHAEL J CERANOWSKI PA-C, CAA
Anesthesiologist Assistant
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
MRS. ELYSE HUFF FNP-C
Nurse Practitioner (Family)
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
GREGORY MICHAEL HENDERSHOT CAA
Anesthesiologist Assistant
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
ANDREW SYKES CURREN CAA
Anesthesiologist Assistant
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
DR. CHAD PHILLIP BERLIN M.D.
Radiology (Diagnostic Radiology)
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3822
JESSELYN MISHELLE VANCE CAA
Anesthesiologist Assistant
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820
JAMES CRUNKILTON
Anesthesiologist Assistant
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL 32901
Brevard County (321) 837-3820

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 Blake Anderson's NPI number?

The NPI number for Blake Anderson is 1114615390. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Blake Anderson located?

Blake Anderson practices at 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901. The listed phone number is (321) 837-3820.

What is Blake Anderson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Blake Anderson enrolled in Medicare?

Yes. Blake Anderson 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.

Is Blake Anderson affiliated with any hospitals?

According to CMS data, Blake Anderson is affiliated with Holmes Regional Medical Center, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Blake Anderson was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.