Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHAUNA ROCHELLE BLAKE FNP
NPI 1568377604
Nurse Practitioner - Family in New London, CT

Q: What is Shauna Blake's NPI number?

The NPI number for Shauna Blake is 1568377604. It was assigned to this individual provider in the NPPES registry on August 14, 2026.

Q: What is Shauna Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shauna Blake 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 47 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.

Active since August 14, 2026PECOS Enrolled

1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304(860) 447-8720 Get Directions Write a Review

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

Record update history: Aug 20, 2026, Aug 14, 2026 (2 updates tracked since 2026).

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About Shauna Rochelle Blake Fnp NPPES

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

SHAUNA ROCHELLE BLAKE FNP (NPI 1568377604) is an individual family provider in New London, Connecticut, licensed in Connecticut (18119) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568377604

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAUNA ROCHELLE BLAKECredential: FNP

Location Address1 SHAWS CVNew London, CT 06320-4902

Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379

Phone(860) 447-8304

Fax(860) 447-8720

Sole ProprietorYes

Enumeration DateAugust 14, 2026

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1568377604 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 CT · 18119

1 SHAWS CV, New London, CT 06320

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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)

Shauna Rochelle Blake Fnp 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 06320 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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.

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