KEVIN K BLAKE NP
NPI 1174957864
Nurse Practitioner - Family in Kingsport, TN

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660(423) 578-8500 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Jan 27, 2017 (2 updates tracked since 2017).

About Kevin K Blake Np NPPES

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

KEVIN K BLAKE NP (NPI 1174957864) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (17873) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (1992).

NPPES Registry Identity

NPI1174957864
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN K BLAKECredential: NP
Location Address2202 N JOHN B DENNIS HWY STE 100Kingsport, TN 37660-5904
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1992
Enumeration DateAugust 29, 2013
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1174957864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 17873
Also ListedRegistered NurseTaxonomy 163W00000X · License 148275 (TN)
2202 N JOHN B DENNIS HWY STE 100, Kingsport, TN 37660

Other Identifiers 2

MedicaidQ008564TN
Medicaid1174957864VA

Accepted Insurance

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

Kevin K Blake Np 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 ID1759518509
PECOS Enrollment IDI20131226000636
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

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.

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.
504 services242 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 13

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

Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Physician Assistant
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2202 N JOHN B DENNIS HWY STE 100
KINGSPORT, TN 37660

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 Kevin Blake's NPI number?

The NPI number for Kevin Blake is 1174957864. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Kevin Blake located?

Kevin Blake practices at 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660. The listed phone number is (423) 578-8500.

What is Kevin Blake's specialty?

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

Is Kevin Blake enrolled in Medicare?

Yes. Kevin Blake 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.

What insurance does Kevin Blake accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Kevin Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Blake affiliated with any hospitals?

According to CMS data, Kevin Blake is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Blake was last updated on October 31, 2023. 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.