BLAKE VELA
NPI 1245950401
Nurse Practitioner - Pediatrics in Glendale, AZ

Q: What is Blake Vela's NPI number?

The NPI number for Blake Vela is 1245950401. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Blake Vela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Blake Vela was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 29, 2022PECOS Enrolled

5555 W THUNDERBIRD RD, GLENDALE, AZ 85306(602) 865-5555 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Blake Vela NPPES

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

BLAKE VELA (NPI 1245950401) is an individual pediatrics provider in Glendale, Arizona, licensed in Arizona (233553) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1245950401

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBLAKE VELA

Location Address5555 W THUNDERBIRD RDGlendale, AZ 85306-4622

Mailing Address1200 E University BlvdTucson, AZ 85721-0001

Phone(602) 865-5555

Sole ProprietorNo

Enumeration DateAugust 29, 2022

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1245950401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 233553

Also ListedRegistered NurseTaxonomy 163W00000X · License 233553 (AZ)

5555 W THUNDERBIRD RD, Glendale, AZ 85306

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Secondary Practice Location 1

Location 12301 E Parkside LnPhoenix, AZ 85024-7595 · Phone (303) 916-0242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Vela is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85306 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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.

DR. DAVID CONNOR M.D.

Emergency Medicine