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BLAKE MICHAEL LEBLANC
NPI 1356928246
Internal Medicine in Jackson, MS

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1190 N STATE ST STE 403, JACKSON, MS 39202(769) 268-6770(769) 268-6769 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Jun 11, 2025, Mar 26, 2021 (3 updates tracked since 2021).

About Blake Michael Leblanc NPPES

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

BLAKE MICHAEL LEBLANC (NPI 1356928246) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (33165) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1356928246
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBLAKE MICHAEL LEBLANC
Location Address1190 N STATE ST STE 403Jackson, MS 39202-2413
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Phone(769) 268-6770
Fax(769) 268-6769
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1356928246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 33165
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1190 N STATE ST STE 403, Jackson, MS 39202
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-5601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Blake Michael Leblanc 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 ID2668877465
PECOS Enrollment IDI20250611003438
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 Reassignment

Medicare enrollment records show Blake Leblanc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Nutrition Clinic
Same address
Nutrition, Education
1190 N STATE ST, SUITE 204
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Medical Foundation Of Central Mississippi Inc
  • 423 clinicians in this Medicare group
NPI 1518238807 (601) 944-1717

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 2

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

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250104
Location2124 14th StreetMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

DR. ARUNDHATI RAMESH SAWANT MD
Internal Medicine
1190 N STATE ST STE 403
JACKSON, MS 39202
Hinds County (601) 292-4517

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 Blake Leblanc's NPI number?

The NPI number for Blake Leblanc is 1356928246. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Blake Leblanc located?

Blake Leblanc practices at 1190 N State St Ste 403, Jackson, MS 39202. The listed phone number is (769) 268-6770.

What is Blake Leblanc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blake Leblanc enrolled in Medicare?

Yes. Blake Leblanc 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 organization bills Medicare for Blake Leblanc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Leblanc reassigns Medicare benefits to Baptist Nutrition Clinic (Jackson, MS). The 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 Blake Leblanc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Leblanc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Blake Leblanc 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 Blake Leblanc affiliated with any hospitals?

According to CMS data, Blake Leblanc is affiliated with Mississippi Baptist Medical Center and Anderson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Leblanc was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.