BRANDI BLAKES
NPI 1174281539
Nurse Practitioner - Gerontology in Burbank, CA
About Brandi Blakes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDI BLAKES (NPI 1174281539) is an individual gerontology provider in Burbank, California, licensed in California (0000000) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brandi Blakes 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.
Medicare Billing Reassignment
Medicare enrollment records show Brandi Blakes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burbank, CA 91506
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91505 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
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 Brandi Blakes's NPI number?
The NPI number for Brandi Blakes is 1174281539. It was assigned to this individual provider in the NPPES registry on December 2, 2021.
Where is Brandi Blakes located?
Brandi Blakes practices at 2501 W Burbank Blvd, Burbank, CA 91505. The listed phone number is (818) 856-9535.
What is Brandi Blakes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Brandi Blakes enrolled in Medicare?
Yes. Brandi Blakes 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.
Which organization bills Medicare for Brandi Blakes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Blakes reassigns Medicare benefits to West Coast Wound And Skin Care Inc (Burbank, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandi Blakes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brandi Blakes was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Brandi Blakes · NPI 1174281539
Gerontology physician in Burbank, California. Individual provider, active in the CMS NPPES registry since December 2, 2021.
## Identity
- **NPI:** 1174281539 (Entity type: Individual)
- **Enumerated:** December 2, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 0000000 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2501 W BURBANK BLVD, Burbank, CA 91505-2347
- **Phone:** (818) 856-9535
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** West Coast Wound And Skin Care Inc (NPI 1437675980, Burbank, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174281539) · Data from the CMS NPPES public registry.