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MS. JOHANNAH BLAKE PMHNP-BC
NPI 1609426261
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since September 16, 2019PECOS EnrolledAccepts Medicare Assignment
2919 E BROADWAY BLVD # 205, TUCSON, AZ 85716(520) 654-5502(520) 842-8765 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Johannah Blake Pmhnp-bc NPPES

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

MS. JOHANNAH BLAKE PMHNP-BC (NPI 1609426261) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (229492) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609426261
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JOHANNAH BLAKECredential: PMHNP-BC
Location Address2919 E BROADWAY BLVD # 205Tucson, AZ 85716-5301
Mailing Address975 N Silverbell Rd Unit 85194Tucson, AZ 85754-4009 · (520) 861-4414
Phone(520) 654-5502
Fax(520) 842-8765
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2019
Last NPPES UpdateApril 27, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1609426261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 229492
2919 E BROADWAY BLVD # 205, Tucson, AZ 85716
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Ms. Johannah Blake Pmhnp-bc 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 ID3173855269
PECOS Enrollment IDI20191022002147
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.

Medicare Billing Reassignment

Medicare enrollment records show Johannah Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Leaf And Stone PLLC
Same address
Psychiatric/Mental Health
2919 E BROADWAY BLVD # 205
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
NPI 1356030951 (520) 654-5502

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 85716 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.

Other Providers at the Same Location NPPES

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

LEAF AND STONE PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2919 E BROADWAY BLVD # 205
TUCSON, AZ 85716
Pima County (520) 654-5502

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 Johannah Blake's NPI number?

The NPI number for Johannah Blake is 1609426261. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Johannah Blake located?

Johannah Blake practices at 2919 E Broadway Blvd # 205, Tucson, AZ 85716. The listed phone number is (520) 654-5502.

What is Johannah Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Johannah Blake enrolled in Medicare?

Yes. Johannah 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 organization bills Medicare for Johannah Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johannah Blake reassigns Medicare benefits to Leaf And Stone PLLC (Tucson, AZ). The 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 Johannah Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johannah Blake accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Johannah Blake 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 Johannah Blake was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.