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

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: October 18, 2026.

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

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
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

Accepted Insurance

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Blake reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
4901 DAWN DR STE 1200
Lumberton, NC 28360
  • Reassigned Medicare billing, North Carolina enrollment
  • 122 clinicians in this Medicare group
Cardiovascular Disease
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
General Acute Care Hospital
NAVAJO ROUTE 64
Tsaile, AZ 86556
  • Reassigned Medicare billing, Texas enrollment
  • 476 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.

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.

Nurse Practitioner (Family)
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Obstetrics & Gynecology
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Obstetrics & Gynecology
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Obstetrics & Gynecology
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Obstetrics & Gynecology
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Advanced Practice Midwife
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Nurse Practitioner (Family)
4901 DAWN DR STE 3200
LUMBERTON, NC 28360
Advanced Practice Midwife
4901 DAWN DR STE 3200
LUMBERTON, NC 28360

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 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.

Where is Lisa Blake located?

Lisa Blake practices at 4901 Dawn Dr Ste 3200, Lumberton, NC 28360. The listed phone number is (910) 735-8040.

What is Lisa Blake's specialty?

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

Is Lisa Blake enrolled in Medicare?

Yes. Lisa 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 Lisa Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Blake reassigns Medicare benefits to 4 organizations: Southeastern Regional Physician Services (Lumberton, NC), Unc Physicians Network, LLC (Pinehurst, NC), Pine Ridge Indian Health Service Hospital (Martin, SD) and Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ). 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 Lisa Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Blake accept?

Health plans from UnitedHealthcare list Lisa 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.

Is Lisa Blake affiliated with any hospitals?

According to CMS data, Lisa Blake is affiliated with Pine Ridge Ihs Hospital.

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 22 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.