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MR. DWAYNE BLAKE NP
NPI 1194480335
Nurse Practitioner - Family in Floral Park, NY

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
31 COVERT AVE # 1030, FLORAL PARK, NY 11001(516) 402-0194(516) 232-9534 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Dec 27, 2021, Nov 2, 2021 (3 updates tracked since 2021).

About Mr. Dwayne Blake Np NPPES

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

MR. DWAYNE BLAKE NP (NPI 1194480335) is an individual family provider in Floral Park, New York, licensed in New York (348517) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Uniondale, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194480335
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DWAYNE BLAKECredential: NP
Location Address31 COVERT AVE # 1030Floral Park, NY 11001-3216
Mailing Address31 Covert Ave # 1030Floral Park, NY 11001-3216 · (516) 402-0194 · Fax (518) 933-2531
Phone(516) 402-0194
Fax(516) 232-9534
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2021
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1194480335 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 NY · 348517
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 407104 (NY)
31 COVERT AVE # 1030, Floral Park, NY 11001
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Secondary Practice Location 1

Location 1317 Maple AveUniondale, NY 11553-1621 · Phone (516) 402-0194 · Fax (516) 232-9534

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

Mr. Dwayne 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 ID648665398
PECOS Enrollment IDI20220316003497
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dwayne Blake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Db Wellness Care Np In Family Health PLLC
2.9 mi
Psychiatric/Mental Health
230 HILTON AVE STE 4
Hempstead, NY 11550
  • Reassigned Medicare billing, New York enrollment
NPI 1033086798 (516) 402-0191
Wb Homecare Adullt & Family Health Np PLLC
5.1 mi
Nurse Practitioner
317 MAPLE AVE
Uniondale, NY 11553
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1073063087 (516) 286-1652
Medical Group Of New York, P.C.
17 mi
Family
375 WHITE PLAINS RD
Eastchester, NY 10709
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Medical Group Of New York PC
  • 185 clinicians in this Medicare group
NPI 1487983516 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
84 services51 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
22 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11001 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Dwayne Blake's NPI number?

The NPI number for Dwayne Blake is 1194480335. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Dwayne Blake located?

Dwayne Blake practices at 31 Covert Ave # 1030, Floral Park, NY 11001. The listed phone number is (516) 402-0194.

What is Dwayne Blake's specialty?

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

Is Dwayne Blake enrolled in Medicare?

Yes. Dwayne 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.

Which organizations bill Medicare for Dwayne Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwayne Blake reassigns Medicare benefits to 3 organizations: Db Wellness Care Np In Family Health PLLC (Hempstead, NY), Wb Homecare Adullt & Family Health Np PLLC (Uniondale, NY) and Medical Group Of New York, P.C. (Eastchester, NY). Each 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 Dwayne Blake'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 Dwayne Blake was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.