MRS. LISA LOWRY BLAKE CNM
NPI 1215153168
Advanced Practice Midwife in Lumberton, NC

Q: What is Lisa Blake's NPI number?

The NPI number for Lisa Blake is 1215153168. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Lisa Blake's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Blake was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment

4901 DAWN DR STE 3200, LUMBERTON, NC 28360(910) 735-8040 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Nov 9, 2022, Nov 2, 2020 and 1 more (4 updates tracked since 2017).

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About Mrs. Lisa Lowry Blake Cnm NPPES

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

MRS. LISA LOWRY BLAKE CNM (NPI 1215153168) is an individual advanced practice midwife in Lumberton, North Carolina, licensed in North Carolina (363) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215153168

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. LISA LOWRY BLAKECredential: CNM

Location Address4901 DAWN DR STE 3200Lumberton, NC 28360-8288

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(910) 735-8040

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 18, 2007

Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1215153168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NC · 363

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

4901 DAWN DR STE 3200, Lumberton, NC 28360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Mrs. Lisa Lowry Blake Cnm 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 ID8325179807

PECOS Enrollment IDI20241213000021

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.

Hospital Affiliations CMS Care Compare

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

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD

OwnershipGovernment - Federal

CMS Certification Number430098

LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28360 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 17

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

MRS. KIM LOCKLEAR RECKER FNP

Nurse Practitioner (Family)