DORIAN R BLAKE FNP
NPI 1396233490
Nurse Practitioner - Family in Englewood, CO
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Dorian Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENGLEWOOD, CO 80112
ENGLEWOOD, CO 80112
ENGLEWOOD, CO 80112
ENGLEWOOD, CO 80112
ENGLEWOOD, CO 80112
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.
Which organization bills Medicare for Dorian Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorian Blake reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). 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 Dorian Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorian Blake accept?
Health plans from Select Health list Dorian 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.
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 8 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.
# Dorian R Blake, FNP · NPI 1396233490
Family physician in Englewood, Colorado. Individual provider, active in the CMS NPPES registry since April 25, 2018.
## Identity
- **NPI:** 1396233490 (Entity type: Individual)
- **Enumerated:** April 25, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 902855 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 INVERNESS DR W STE 300, Englewood, CO 80112-5069
- **Phone:** (720) 516-0634 · **Fax:** (720) 516-0237
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396233490) · Data from the CMS NPPES public registry.