DORIAN R BLAKE FNP
NPI 1396233490
Nurse Practitioner - Family in Englewood, CO

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
175 INVERNESS DR W STE 300, ENGLEWOOD, CO 80112(720) 516-0634(720) 516-0237 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Apr 16, 2019, Oct 30, 2018 and 2 more (5 updates tracked since 2018).

About Dorian R Blake Fnp NPPES

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

DORIAN R BLAKE FNP (NPI 1396233490) is an individual family provider in Englewood, Colorado, licensed in Mississippi (902855) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396233490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORIAN R BLAKECredential: FNP
Location Address175 INVERNESS DR W STE 300Englewood, CO 80112-5069
Mailing Address175 Inverness Dr W Ste 300Englewood, CO 80112-5069 · (720) 516-0634 · Fax (720) 516-0237
Fax(720) 516-0237
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateFebruary 23, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1396233490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 902855
175 INVERNESS DR W STE 300, Englewood, CO 80112

Other Names 1

Former Name (1)Dorian R Clark

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

Dorian R Blake Fnp 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 ID446501852
PECOS Enrollment IDI20230601002911
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 80112 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier28 claims28 services$52.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Speech-Language Pathologist
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Nurse Practitioner (Family)
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Internal Medicine (Cardiovascular Disease)
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Psychiatry & Neurology (Neurology)
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Physician Assistant
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Psychiatry & Neurology (Neurology)
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Speech-Language Pathologist
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112
Speech-Language Pathologist
175 INVERNESS DR W STE 300
ENGLEWOOD, CO 80112

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 Dorian Blake's NPI number?

The NPI number for Dorian Blake is 1396233490. It was assigned to this individual provider in the NPPES registry on April 25, 2018. The provider is also known as Dorian R Clark.

Where is Dorian Blake located?

Dorian Blake practices at 175 Inverness Dr W Ste 300, Englewood, CO 80112. The listed phone number is (720) 516-0634.

What is Dorian Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dorian Blake enrolled in Medicare?

Yes. Dorian 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.

When was this NPI record last updated?

The NPPES record for Dorian Blake was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.