CANAAN BLAKE FNP
NPI 1407211329
Nurse Practitioner in Durham, NC

Q: What is Canaan Blake's NPI number?

The NPI number for Canaan Blake is 1407211329. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Q: What is Canaan Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Canaan Blake was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since December 18, 2015PECOS Enrolled

2511 OLD CORNWALLIS RD, SUITE 200, DURHAM, NC 27713(919) 932-5700(919) 933-6881 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Canaan Blake Fnp NPPES

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

CANAAN BLAKE FNP (NPI 1407211329) is an individual nurse practitioner in Durham, North Carolina, licensed in North Carolina (280433) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407211329

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCANAAN BLAKECredential: FNP

Location Address2511 OLD CORNWALLIS RD, SUITE 200Durham, NC 27713-1869

Mailing Address2511 Old Cornwallis Rd, Suite 200Durham, NC 27713-1869 · (919) 932-5700 · Fax (919) 933-6881

Phone(919) 932-5700

Fax(919) 933-6881

Sole ProprietorNo

Enumeration DateDecember 18, 2015

✔ NPI 1407211329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 280433

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.

2511 OLD CORNWALLIS RD, Durham, NC 27713

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canaan Blake Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27713 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

GABRIEL SAYRE MAECK LCSW

Social Worker (Clinical)