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MRS. JILL ANN BLAKE FNP-BC
NPI 1508018896
Nurse Practitioner - Family in Beckley, WV

Active since October 17, 2008PECOS Enrolled
3771 ROBERT C. BYRD DRIVE, BECKLEY, WV 25801(304) 255-5710(304) 255-5702 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Jill Ann Blake Fnp-bc NPPES

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

MRS. JILL ANN BLAKE FNP-BC (NPI 1508018896) is an individual family provider in Beckley, West Virginia, licensed in West Virginia (45615) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508018896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JILL ANN BLAKECredential: FNP-BC
Location Address3771 ROBERT C. BYRD DRIVEBeckley, WV 25801
Mailing AddressPo Box 82, 109 Duffy DriveCrab Orchard, WV 25827-0082 · (304) 253-7408
Phone(304) 255-5710
Fax(304) 255-5702
Sole ProprietorNo
Enumeration DateOctober 17, 2008
✔ NPI 1508018896 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 WV · 45615
3771 ROBERT C. BYRD DRIVE, Beckley, WV 25801
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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)

Mrs. Jill Ann Blake Fnp-bc 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 25801 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 Jill Blake's NPI number?

The NPI number for Jill Blake is 1508018896. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Jill Blake located?

Jill Blake practices at 3771 Robert C. Byrd Drive, Beckley, WV 25801. The listed phone number is (304) 255-5710.

What is Jill Blake's specialty?

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

Is Jill Blake enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jill Blake was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.