BLAKE WILLIAM BOELENS PA-C
NPI 1407401607
Physician Assistant in Frisco, TX

Q: What is Blake Boelens's NPI number?

The NPI number for Blake Boelens is 1407401607. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Q: What is Blake Boelens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Boelens was last updated on February 17, 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.

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment

11500 STATE HIGHWAY 121 STE 510, FRISCO, TX 75035(469) 200-4093(469) 200-4079 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blake William Boelens Pa-c NPPES

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

BLAKE WILLIAM BOELENS PA-C (NPI 1407401607) is an individual physician assistant in Frisco, Texas, licensed in Texas (PA14195) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Southlake, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2020).

NPPES Registry Identity

NPI1407401607

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBLAKE WILLIAM BOELENSCredential: PA-C

Location Address11500 STATE HIGHWAY 121 STE 510Frisco, TX 75035-9348

Mailing Address11500 State Highway 121 Ste 930Frisco, TX 75035-9347 · (469) 200-4093

Phone(469) 200-4093

Fax(469) 200-4079

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2020

Enumeration DateAugust 5, 2019

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1407401607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA14195

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11500 STATE HIGHWAY 121 STE 510, Frisco, TX 75035

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Secondary Practice Location 1

Location 1281 W Southlake BlvdSouthlake, TX 76092-7052 · Phone (817) 704-1431

Accepted Insurance

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

Blake William Boelens Pa-c 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 ID3971965484

PECOS Enrollment IDI20230816000662

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services16 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 18

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

MR. MUTA WELLS LPC, LCDC

Counselor (Professional)