MRS. DAYNA BLAKE FNP- BC
NPI 1548825789
Nurse Practitioner - Primary Care in Fort Mohave, AZ

Q: What is Dayna Blake's NPI number?

The NPI number for Dayna Blake is 1548825789. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Q: What is Dayna Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: Is Dayna Blake enrolled in Medicare?

No. Dayna Blake has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dayna Blake was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 02, 2019Opted out of Medicare · through Apr 1, 2027

5221 HWY 95 STE 13, FORT MOHAVE, AZ 86426(928) 201-8289(913) 222-1782 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 27, 2026, Jul 6, 2022, Jan 2, 2021 and 1 more (4 updates tracked since 2019).

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About Mrs. Dayna Blake Fnp- Bc NPPES

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

MRS. DAYNA BLAKE FNP- BC (NPI 1548825789) is an individual primary care provider in Fort Mohave, Arizona, licensed in Arizona (225438) and active in the NPI registry since May 2019. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548825789

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. DAYNA BLAKECredential: FNP- BC

Location Address5221 HWY 95 STE 13Fort Mohave, AZ 86426-9244

Mailing AddressPo Box 10837Fort Mohave, AZ 86427-0837 · (928) 201-8289 · Fax (913) 222-1782

Phone(928) 201-8289

Fax(913) 222-1782

Sole ProprietorYes

Enumeration DateMay 2, 2019

Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1548825789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · 225438

5221 HWY 95 STE 13, Fort Mohave, AZ 86426

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Dayna Blake Fnp- Bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86426 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 Dayna Blake's NPI number?

The NPI number for Dayna Blake is 1548825789. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Dayna Blake located?

Dayna Blake practices at 5221 Hwy 95 Ste 13, Fort Mohave, AZ 86426. The listed phone number is (928) 201-8289.

What is Dayna Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Dayna Blake enrolled in Medicare?

No. Dayna Blake has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dayna Blake was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.