KRISTIN E BLAKE MD, L.AC.
NPI 1205252806
Psychiatry & Neurology - 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 Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Blake was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 07, 2014PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2023, Jan 8, 2023, Aug 17, 2022 and 2 more (5 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 psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (81199) 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 Taxonomy2084P0800X

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

Location Address600 HIGHLAND AVEMadison, WI 53792-2888

Mailing Address600 Highland AveMadison, WI 53792-2888 · (608) 263-6400

Phone(608) 263-6400

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021

Enumeration DateMarch 7, 2014

Last NPPES UpdateJanuary 10, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

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

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 81199

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

600 HIGHLAND AVE, Madison, WI 53792

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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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology