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LETTRICE TAYLOR-BLAKE NURSE PRACTITIONER
NPI 1487320495
Nurse Practitioner - Family in Dayton, OH

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment
78.93/100
CMS Quality Rating
4160 LITTLE YORK RD STE 20, DAYTON, OH 45414(937) 454-9527(937) 454-9532 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, May 9, 2022, Aug 19, 2021 (3 updates tracked since 2021).

About Lettrice Taylor-blake Nurse Practitioner NPPES

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

LETTRICE TAYLOR-BLAKE NURSE PRACTITIONER (NPI 1487320495) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0029516) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487320495
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLETTRICE TAYLOR-BLAKECredential: NURSE PRACTITIONER
Location Address4160 LITTLE YORK RD STE 20Dayton, OH 45414-5803
Mailing Address306 Shady Tree CtEnglewood, OH 45315-9652 · (937) 533-9963
Phone(937) 454-9527
Fax(937) 454-9532
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 19, 2021
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1487320495 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 OH · APRN.CNP.0029516
4160 LITTLE YORK RD STE 20, Dayton, OH 45414
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lettrice Taylor-blake Nurse Practitioner 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 ID3274931043
PECOS Enrollment IDI20211007003530
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lettrice Taylor-blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
2.0 mi
Obstetrics
900 S DIXIE DR, SUITE 40
Vandalia, OH 45377
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1154472934 (937) 890-6644
Kettering Independent Medical Group Inc
15 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.8
Promoting Interoperability100
Improvement Activities40
Cost59.98

Other Providers at the Same Location NPPES 10

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

CHASITY RENE LEMONS APRN
Nurse Practitioner
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
DANIELA IRINA ROSU M.D.
Internal Medicine (Cardiovascular Disease)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
DR. STEPHANIE MAUS RUDDY D.O.
Internal Medicine (Cardiovascular Disease)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
FAISAL HAYAT M.D.
Internal Medicine (Interventional Cardiology)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
DR. PRATIK MUKUND CHOKSY MD
Internal Medicine (Interventional Cardiology)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
ANGELA MARIE BARTLETT FNP-C
Nurse Practitioner (Family)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
ERIN MARIE HASTON
Physician Assistant (Medical)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527
ARIELLE HAFLE AGNP-C
Nurse Practitioner (Primary Care)
4160 LITTLE YORK RD STE 20
DAYTON, OH 45414
Montgomery County (937) 454-9527

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 Lettrice Taylor-blake's NPI number?

The NPI number for Lettrice Taylor-blake is 1487320495. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Lettrice Taylor-blake located?

Lettrice Taylor-blake practices at 4160 Little York Rd Ste 20, Dayton, OH 45414. The listed phone number is (937) 454-9527.

What is Lettrice Taylor-blake's specialty?

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

Is Lettrice Taylor-blake enrolled in Medicare?

Yes. Lettrice Taylor-blake 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.

Which organizations bill Medicare for Lettrice Taylor-blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lettrice Taylor-blake reassigns Medicare benefits to 2 organizations: Premier Health Specialists Inc (Vandalia, OH) and Kettering Independent Medical Group Inc (Miamisburg, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lettrice Taylor-blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lettrice Taylor-blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Lettrice Taylor-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 Lettrice Taylor-blake was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.