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JUDI ELLEN BLAKE PA-C
NPI 1548916786
Physician Assistant - Surgical in Glenview, IL

Active since February 25, 2022PECOS EnrolledAccepts Medicare Assignment
2100 PFINGSTEN RD STE 3001, GLENVIEW, IL 60026(847) 657-5815(847) 657-3724 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, May 3, 2024, Jan 9, 2023 and 1 more (4 updates tracked since 2022).

About Judi Ellen Blake Pa-c NPPES

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

JUDI ELLEN BLAKE PA-C (NPI 1548916786) is an individual surgical provider in Glenview, Illinois, licensed in Illinois (085009438) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and maintains a secondary practice location in Arlington Heights.

NPPES Registry Identity

NPI1548916786
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJUDI ELLEN BLAKECredential: PA-C
Location Address2100 PFINGSTEN RD STE 3001Glenview, IL 60026-1301
Mailing Address2100 Pfingsten Rd Ste 3001Glenview, IL 60026-1301 · (847) 657-5815 · Fax (847) 657-3724
Phone(847) 657-5815
Fax(847) 657-3724
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 25, 2022
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1548916786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085009438
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085009438 (IL)
2100 PFINGSTEN RD STE 3001, Glenview, IL 60026
Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 E Central RdArlington Heights, IL 60005-2857 · Phone (847) 870-6100 · Fax (847) 870-8159

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judi Ellen Blake Pa-c 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.

PECOS PAC ID345611752
PECOS Enrollment IDI20230123002203
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140292
Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County
Emergency services Birthing friendly

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 Judi Blake's NPI number?

The NPI number for Judi Blake is 1548916786. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Judi Blake located?

Judi Blake practices at 2100 Pfingsten Rd Ste 3001, Glenview, IL 60026. The listed phone number is (847) 657-5815.

What is Judi Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Judi Blake enrolled in Medicare?

Yes. Judi 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.

Is Judi Blake affiliated with any hospitals?

According to CMS data, Judi Blake is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Northwest Community Hospital 1 and Uchicago Medicine Adventhealth Glenoaks.

When was this NPI record last updated?

The NPPES record for Judi Blake was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.