1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Nurse Practitioner
  6. NPI Profile

STEFANIE BLAKE
NPI 1467904904
Nurse Practitioner - Neonatal in Detroit, MI

Active since November 01, 2016PECOS Enrolled
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201(313) 745-5638(313) 745-5867 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stefanie Blake NPPES

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

STEFANIE BLAKE (NPI 1467904904) is an individual neonatal provider in Detroit, Michigan, licensed in Michigan (4704272308) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467904904
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameSTEFANIE BLAKE
Location Address3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MIDetroit, MI 48201
Mailing Address4201 St. Antoine - Uhc 5d #226, University PediatriciansDetroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665
Phone(313) 745-5638
Fax(313) 745-5867
Sole ProprietorNo
Enumeration DateNovember 1, 2016
✔ NPI 1467904904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MI · 4704272308
3901 BEAUBIEN, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Stefanie Blake 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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

DR. ALISSA M MARTIN MD
Pediatrics (Pediatric Hematology-Oncology)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5515
DR. KRISTEN P PETERS AU.D.
Audiologist
3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-8903
UNIVERSITY PEDIATRICIANS
Nurse Practitioner
3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-5214
CRISTY A. GUAGENTI CPNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5260
MERET HENRY M.D.
Pediatrics (Pediatric Hematology-Oncology)
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Wayne County (313) 745-5515
DANIEL E CALHOUN MSW
Social Worker
3901 BEAUBIEN, UPC CHILDREN'S HOSPITAL/CRISIS CENTER
DETROIT, MI 48201
Wayne County (313) 966-7002
RONALD PHILLIP RUFFING M.D.
Emergency Medicine (Pediatric Emergency Medicine)
3901 BEAUBIEN, CHILREN'S HOSPITAL OF MI/ ER DEPT
DETROIT, MI 48201
Wayne County (313) 745-5260
JANET MARIA POULIK MD
Pathology (Anatomic Pathology & Clinical Pathology)
3901 BEAUBIEN, CHILDRENS HOSPITAL OF MI PATHOLOGY
DETROIT, MI 48201
Wayne County (313) 745-2553

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 Stefanie Blake's NPI number?

The NPI number for Stefanie Blake is 1467904904. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Stefanie Blake located?

Stefanie Blake practices at 3901 Beaubien Children's Hospital Of Mi, Detroit, MI 48201. The listed phone number is (313) 745-5638.

What is Stefanie Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Stefanie Blake enrolled in Medicare?

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

What insurance does Stefanie Blake accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Stefanie 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 Stefanie Blake was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.