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MRS. BREANNE M BLAKE PA-C
NPI 1245631019
Physician Assistant in Kittanning, PA

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
10261 PA-85, KITTANNING, PA 16201(724) 783-7124 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Breanne M Blake Pa-c NPPES

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

MRS. BREANNE M BLAKE PA-C (NPI 1245631019) is an individual physician assistant in Kittanning, Pennsylvania, licensed in (OA004127) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245631019
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BREANNE M BLAKECredential: PA-C
Location Address10261 PA-85Kittanning, PA 16201
Mailing Address1 Nolte DrKittanning, PA 16201-7111
Phone(724) 783-7124
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2014
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1245631019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · OA004127
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA057085 (PA)
10261 PA-85, Kittanning, PA 16201
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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 and accepts Medicare assignment

Mrs. Breanne M Blake Pa-c 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 ID6507087970
PECOS Enrollment IDI20141028002444
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.

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Breanne Blake's NPI number?

The NPI number for Breanne Blake is 1245631019. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Breanne Blake located?

Breanne Blake practices at 10261 Pa-85, Kittanning, PA 16201. The listed phone number is (724) 783-7124.

What is Breanne Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanne Blake enrolled in Medicare?

Yes. Breanne 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.

Is Breanne Blake affiliated with any hospitals?

According to CMS data, Breanne Blake is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Breanne Blake was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.