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ANGELICA MARIE BLAKE FNP
NPI 1114813706
Nurse Practitioner - Family in Soldotna, AK

Active since June 18, 2025PECOS Enrolled
41701 TISCHER AVE, SOLDOTNA, AK 99669(907) 690-3196 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angelica Marie Blake Fnp NPPES

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

ANGELICA MARIE BLAKE FNP (NPI 1114813706) is an individual family provider in Soldotna, Alaska, licensed in Alaska (239396) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114813706
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELICA MARIE BLAKECredential: FNP
Location Address41701 TISCHER AVESoldotna, AK 99669-8504
Mailing Address41701 Tischer AveSoldotna, AK 99669-8504 · (907) 690-3196
Phone(907) 690-3196
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1114813706 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 AK · 239396
41701 TISCHER AVE, Soldotna, AK 99669
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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 (PECOS)

Angelica Marie Blake Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557848181
PECOS Enrollment IDI20260124000472
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99669 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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 Angelica Blake's NPI number?

The NPI number for Angelica Blake is 1114813706. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Angelica Blake located?

Angelica Blake practices at 41701 Tischer Ave, Soldotna, AK 99669. The listed phone number is (907) 690-3196.

What is Angelica Blake's specialty?

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

Is Angelica Blake enrolled in Medicare?

Yes. Angelica Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelica Blake was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.