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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.

BLAKE BANDRE FNP-C
NPI 1538589601
Nurse Practitioner - Family in Tupelo, MS

Active since April 16, 2014PECOS Enrolled
495 S GLOSTER ST STE 201, TUPELO, MS 38801(662) 401-9996(662) 214-6050 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 20, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Blake Bandre Fnp-c NPPES

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

BLAKE BANDRE FNP-C (NPI 1538589601) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (R879736) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538589601
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAKE BANDRECredential: FNP-C
Location Address495 S GLOSTER ST STE 201Tupelo, MS 38801-5539
Mailing Address495 S Gloster St Ste 201Tupelo, MS 38801-5539 · (662) 401-9996 · Fax (662) 214-6050
Phone(662) 401-9996
Fax(662) 214-6050
Sole ProprietorYes
Enumeration DateApril 16, 2014
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1538589601 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 MS · R879736
495 S GLOSTER ST STE 201, Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 1

Medicaid03228399MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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)

Blake Bandre Fnp-c 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 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers38 claims38 services$102.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers36 claims80 services$38.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers16 claims90 services$22.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers22 claims22 services$70.33 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers39 claims39 services$20.66 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
13 suppliers66 claims66 services$19.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. ALISHA MICHELLE READ FNP-C
Nurse Practitioner (Family)
495 S GLOSTER ST STE 201
TUPELO, MS 38801
Lee County (662) 401-9996

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 Blake Bandre's NPI number?

The NPI number for Blake Bandre is 1538589601. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Blake Bandre located?

Blake Bandre practices at 495 S Gloster St Ste 201, Tupelo, MS 38801. The listed phone number is (662) 401-9996.

What is Blake Bandre's specialty?

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

Is Blake Bandre enrolled in Medicare?

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

What insurance does Blake Bandre accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Blake Bandre 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 Blake Bandre was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.