Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN E BLAKE MD, L.AC.
NPI 1205252806
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI

Q: What is Kristin Blake's NPI number?

The NPI number for Kristin Blake is 1205252806. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Q: What is Kristin Blake's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Blake was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since March 07, 2014PECOS Enrolled

6001 RESEARCH PARK BLVD, MADISON, WI 53719(608) 232-3171 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Jan 10, 2023, Jan 8, 2023 and 3 more (6 updates tracked since 2021).

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About Kristin E Blake Md, L.ac. NPPES

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

KRISTIN E BLAKE MD, L.AC. (NPI 1205252806) is an individual child & adolescent psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (81199-20) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1205252806

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameKRISTIN E BLAKECredential: MD, L.AC.

Location Address6001 RESEARCH PARK BLVDMadison, WI 53719-1176

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 232-3171

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021

Enumeration DateMarch 7, 2014

Last NPPES UpdateSeptember 14, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1205252806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in WI · 81199-20

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 81199 (WI)

6001 RESEARCH PARK BLVD, Madison, WI 53719

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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)

Kristin E Blake Md, L.ac. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022410554

PECOS Enrollment IDI20251119003238

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.

Other Providers at the Same Location NPPES 20

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

SHARON K. FINLAYSON NP

Nurse Practitioner