MS. BLAKE ALEXIS SELBY CPNP
NPI 1417194358
Nurse Practitioner in San Diego, CA
About Ms. Blake Alexis Selby Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BLAKE ALEXIS SELBY CPNP (NPI 1417194358) is an individual nurse practitioner in San Diego, California, licensed in California (NP18112) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ms. Blake Alexis Selby Cpnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Selby's NPI number?
The NPI number for Blake Selby is 1417194358. It was assigned to this individual provider in the NPPES registry on January 14, 2009.
Where is Blake Selby located?
Blake Selby practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Blake Selby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Blake Selby enrolled in Medicare?
Yes. Blake Selby 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 Blake Selby was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Blake Alexis Selby, CPNP · NPI 1417194358
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1417194358 (Entity type: Individual)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP18112 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417194358) · Data from the CMS NPPES public registry.