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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER CHRISTINA BLAKE MD
NPI 1497245708
Surgery in Fort Worth, TX

Active since May 11, 2018PECOS Enrolled
800 8TH AVE STE 306, FORT WORTH, TX 76104(682) 224-3748(682) 841-0039 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Jun 17, 2025, May 11, 2018 (3 updates tracked since 2018).

About Jennifer Christina Blake Md NPPES

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

JENNIFER CHRISTINA BLAKE MD (NPI 1497245708) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (U4745) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497245708
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJENNIFER CHRISTINA BLAKECredential: MD
Location Address800 8TH AVE STE 306Fort Worth, TX 76104-2602
Mailing Address800 8th Ave Ste 306Fort Worth, TX 76104-2602 · (682) 224-3748 · Fax (682) 841-0039
Phone(682) 224-3748
Fax(682) 841-0039
Sole ProprietorNo
Enumeration DateMay 11, 2018
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1497245708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · U4745
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
800 8TH AVE STE 306, Fort Worth, TX 76104
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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 Christina Blake Md 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 11

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

IVAN NOFFSKER MD
Surgery (Vascular Surgery)
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
SMARTCAREHUB TEXAS LLC
Case Management
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (847) 845-8960
CHELSEA LEE AGACNP-BC
Nurse Practitioner (Acute Care)
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
JODIE NGUYEN PA-C
Physician Assistant
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
HYUNGMIN JUNG M.D.
Surgery
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
CLARA YIPYEE CHAN PA-C
Physician Assistant
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
DENISH PATEL D.O
Surgery
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748
NEZAR Y JREBI MD
Colon & Rectal Surgery
800 8TH AVE STE 306
FORT WORTH, TX 76104
Tarrant County (682) 224-3748

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 1497245708. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Jennifer Blake located?

Jennifer Blake practices at 800 8th Ave Ste 306, Fort Worth, TX 76104. The listed phone number is (682) 224-3748.

What is Jennifer Blake's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.