DANIELLE REBECCA BLAKE
NPI 1265900450
Nurse Practitioner in Fenton, MO

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
1055 BOWLES AVE STE 200, FENTON, MO 63026(636) 496-3900 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2024, Oct 27, 2020, Nov 9, 2018 (3 updates tracked since 2018).

About Danielle Rebecca Blake NPPES

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

DANIELLE REBECCA BLAKE (NPI 1265900450) is an individual nurse practitioner in Fenton, Missouri, licensed in Missouri (2018011508) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265900450
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDANIELLE REBECCA BLAKE
Location Address1055 BOWLES AVE STE 200Fenton, MO 63026-2308
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 6, 2018
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1265900450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2018011508
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2013025839 (MO)
1055 BOWLES AVE STE 200, Fenton, MO 63026

Other Names 1

Former Name (1)Danielle Rebecca Thomas

Accepted 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

Danielle Rebecca Blake 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 ID3476898669
PECOS Enrollment IDI20181217000914
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 8

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

Nurse Practitioner (Family)
1055 BOWLES AVE STE 200
FENTON, MO 63026
Psychiatry & Neurology (Neurology)
1055 BOWLES AVE STE 200
FENTON, MO 63026
Physician Assistant
1055 BOWLES AVE STE 200
FENTON, MO 63026
Neurological Surgery
1055 BOWLES AVE STE 200
FENTON, MO 63026
Nurse Practitioner (Adult Health)
1055 BOWLES AVE STE 200
FENTON, MO 63026
Nurse Practitioner
1055 BOWLES AVE STE 200
FENTON, MO 63026
Registered Nurse
1055 BOWLES AVE STE 200
FENTON, MO 63026
Nurse Practitioner (Adult Health)
1055 BOWLES AVE STE 200
FENTON, MO 63026

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 Danielle Blake's NPI number?

The NPI number for Danielle Blake is 1265900450. It was assigned to this individual provider in the NPPES registry on November 6, 2018. The provider is also known as Danielle Rebecca Thomas.

Where is Danielle Blake located?

Danielle Blake practices at 1055 Bowles Ave Ste 200, Fenton, MO 63026. The listed phone number is (636) 496-3900.

What is Danielle Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Danielle Blake enrolled in Medicare?

Yes. Danielle 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.

What insurance does Danielle Blake accept?

Health plans from Anthem Blue Cross and Blue Shield list Danielle 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 Danielle Blake affiliated with any hospitals?

According to CMS data, Danielle Blake is affiliated with Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for Danielle Blake was last updated on December 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.