JAY L BLAKE NP
NPI 1619284742
Nurse Practitioner in Eugene, OR

Q: What is Jay Blake's NPI number?

The NPI number for Jay Blake is 1619284742. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Q: What is Jay Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Blake was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 10, 2010PECOS EnrolledAccepts Medicare Assignment

920 COUNTRY CLUB RD STE 140A, EUGENE, OR 97401(971) 915-8585(503) 362-8435 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Jay L Blake Np NPPES

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

JAY L BLAKE NP (NPI 1619284742) is an individual nurse practitioner in Eugene, Oregon, licensed in Oregon (10042189) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newport, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619284742

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAY L BLAKECredential: NP

Location Address920 COUNTRY CLUB RD STE 140AEugene, OR 97401-6024

Mailing Address1793 13th St SeSalem, OR 97302-2541 · (503) 362-8385 · Fax (503) 362-8435

Phone(971) 915-8585

Fax(503) 362-8435

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 10, 2010

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1619284742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 10042189

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

920 COUNTRY CLUB RD STE 140A, Eugene, OR 97401

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Secondary Practice Location 1

Location 11010 SW Coast Hwy Ste 201Newport, OR 97365-5240 · Phone (866) 599-3376 · Fax (503) 362-8435

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

Jay L Blake Np 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 ID4082808209

PECOS Enrollment IDI20190117003741, I20260212003051

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

483 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

292 services206 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

158 services120 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

129 services117 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

91 services77 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

49 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 4

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

CHARITY CAPURAS NP

Nurse Practitioner (Gerontology)

920 COUNTRY CLUB RD STE 140A
EUGENE, OR 97401

Lane County (971) 915-8585

MR. JOHN R ROTH MPAS, PA-C

Physician Assistant

920 COUNTRY CLUB RD STE 140A
EUGENE, OR 97401

Lane County (503) 362-8385

DR. HANNIBAL ECCLES MD

Dermatology

920 COUNTRY CLUB RD STE 140A
EUGENE, OR 97401

Lane County (665) 993-3768

MELISSA LAUGHTER MD PHD

Dermatology

920 COUNTRY CLUB RD STE 140A
EUGENE, OR 97401

Lane County (503) 362-8385

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 Jay Blake's NPI number?

The NPI number for Jay Blake is 1619284742. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Jay Blake located?

Jay Blake practices at 920 Country Club Rd Ste 140A, Eugene, OR 97401. The listed phone number is (971) 915-8585.

What is Jay Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jay Blake enrolled in Medicare?

Yes. Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Blake was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.