JENNIFER LEE BLAKE APRN
NPI 1508643750
Nurse Practitioner - Acute Care in Manchester, CT
About Jennifer Lee Blake Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LEE BLAKE APRN (NPI 1508643750) is an individual acute care provider in Manchester, Connecticut, licensed in Connecticut (12319) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jennifer Lee Blake Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
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 06040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MANCHESTER, CT 06040
MANCHESTER, CT 06040
MANCHESTER, CT 06040
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 1508643750. It was assigned to this individual provider in the NPPES registry on September 12, 2023. The provider is also known as Jennifer Lee Wallington.
Where is Jennifer Blake located?
Jennifer Blake practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.
What is Jennifer Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Blake enrolled in Medicare?
Yes. Jennifer 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 Jennifer Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Blake reassigns Medicare benefits to 2 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Jennifer Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Blake was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jennifer Lee Blake, APRN · NPI 1508643750
Acute Care physician in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1508643750 (Entity type: Individual)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 12319 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 HAYNES ST, Manchester, CT 06040-4188
- **Phone:** (860) 646-1222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508643750) · Data from the CMS NPPES public registry.