KRISTIN E BLAKE MD, L.AC.
NPI 1205252806
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Kristin Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Oconomowoc, WI 53066
- Reassigned Medicare billing, Wisconsin enrollment
- 99 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.
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.
MADISON, WI 53719
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 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.
Where is Kristin Blake located?
Kristin Blake practices at 6001 Research Park Blvd, Madison, WI 53719. The listed phone number is (608) 232-3171.
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.
Is Kristin Blake enrolled in Medicare?
Yes. Kristin Blake is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristin Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Blake reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Rogers Memorial Hospital Incorporated (Oconomowoc, WI). 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 Kristin Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Blake accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz, Security Health Plan and UnitedHealthcare list Kristin 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.
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 44 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.
# Kristin E Blake, MD, L.AC. · NPI 1205252806
Child & Adolescent Psychiatry physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since March 7, 2014.
## Identity
- **NPI:** 1205252806 (Entity type: Individual)
- **Enumerated:** March 7, 2014
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 81199-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6001 RESEARCH PARK BLVD, Madison, WI 53719-1176
- **Phone:** (608) 232-3171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Rogers Memorial Hospital Incorporated (NPI 1053329581, Oconomowoc, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205252806) · Data from the CMS NPPES public registry.