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JENNIFER LYNN BLAKE FNP
NPI 1417835430
Nurse Practitioner - Family in Warren, NJ

Active since August 26, 2025PECOS Enrolled
34 MOUNTAIN BLVD STE B, WARREN, NJ 07059(908) 367-6196 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Lynn Blake Fnp NPPES

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

JENNIFER LYNN BLAKE FNP (NPI 1417835430) is an individual family provider in Warren, New Jersey, licensed in New Jersey (26NJ15398300) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley Heights, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417835430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN BLAKECredential: FNP
Location Address34 MOUNTAIN BLVD STE BWarren, NJ 07059-2640
Mailing Address96 Briar Hills CirSpringfield, NJ 07081-3422 · (860) 518-8290
Phone(908) 367-6196
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2025
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1417835430 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 NJ · 26NJ15398300
34 MOUNTAIN BLVD STE B, Warren, NJ 07059
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · Phone (908) 673-7167 · Fax (908) 417-6214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1153811542
PECOS Enrollment IDI20251105000060
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 07059 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 4

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

SUMMIT MEDICAL GROUP PA
Durable Medical Equipment & Medical Supplies
34 MOUNTAIN BLVD STE B
WARREN, NJ 07059
Somerset County (908) 808-4734
DR. AMANDA M STARLING PSY.D.
Psychologist
34 MOUNTAIN BLVD STE B
WARREN, NJ 07059
Somerset County (908) 277-8900
DR. PAULA MARIA GUERRA PH.D.
Psychologist (Clinical)
34 MOUNTAIN BLVD STE B
WARREN, NJ 07059
Somerset County (908) 277-8900
DR. LEONID LEV TOPPER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
34 MOUNTAIN BLVD STE B
WARREN, NJ 07059
Somerset County (908) 769-2574

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 Jennifer Blake's NPI number?

The NPI number for Jennifer Blake is 1417835430. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Jennifer Blake located?

Jennifer Blake practices at 34 Mountain Blvd Ste B, Warren, NJ 07059. The listed phone number is (908) 367-6196.

What is Jennifer Blake's specialty?

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

Is Jennifer Blake enrolled in Medicare?

Yes. Jennifer Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Blake was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.