RYAN BLAKE FNP-BC - NPI 1265083208 - Family Medicine in Chicago, IL

Q: What is Ryan Blake's NPI number?

The NPI number for Ryan Blake is 1265083208. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Q: What is Ryan Blake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Blake was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ryan Blake Fnp-bc NPPES

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

RYAN BLAKE FNP-BC (NPI 1265083208) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (209019763) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265083208

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRYAN BLAKECredential: FNP-BC

Location Address3752 W 16TH STChicago, IL 60623-2028

Mailing Address2613 W Augusta Blvd Apt 2rChicago, IL 60622-7451 · (815) 768-7404

Phone(773) 762-2435

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 20, 2019

✔ NPI 1265083208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 209019763

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3752 W 16TH ST, Chicago, IL 60623

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Ryan Blake Fnp-bc 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 ID1759711229

PECOS Enrollment IDI20200423002591

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 60623 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 11

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

WANISSA FORD FNP-BC

Nurse Practitioner (Family)