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ELIZABETH ANN BLAKE PMHNP-BC
NPI 1619832508
Nurse Practitioner - Psychiatric/Mental Health in Port Charlotte, FL

Active since December 22, 2025PECOS Enrolled
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952(941) 883-4518(941) 249-4356 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Dec 22, 2025 (2 updates tracked since 2025).

About Elizabeth Ann Blake Pmhnp-bc NPPES

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

ELIZABETH ANN BLAKE PMHNP-BC (NPI 1619832508) is an individual psychiatric/mental health provider in Port Charlotte, Florida, licensed in Florida (APRN11043962) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619832508
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH ANN BLAKECredential: PMHNP-BC
Location Address3191 HARBOR BLVD STE APort Charlotte, FL 33952-6755
Mailing Address3191 Harbor Blvd Ste APort Charlotte, FL 33952-6755 · (941) 883-4518 · Fax (941) 249-4356
Phone(941) 883-4518
Fax(941) 249-4356
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 22, 2025
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1619832508 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 FL · APRN11043962
3191 HARBOR BLVD STE A, Port Charlotte, FL 33952
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida 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 (PECOS)

Elizabeth Ann Blake Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961980214
PECOS Enrollment IDI20260129000730
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 Reassignments

2

Medicare enrollment records show Elizabeth Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dna Comprehensive Therapy Services, LLC
30 mi
Mental Health (Including Community Mental Health Center)
4310 METRO PKWY STE 205
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 618 clinicians in this Medicare group
NPI 1316363757 (239) 223-2751
Psychiatric Specialty Center LLC
127 mi
Psychiatry
1035 S STATE ROAD 7 STE 209
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1841678141 (615) 331-8800

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 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 17

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

KAYLA NICOLE POPE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906
MRS. LISA MORAZES LCSW
Social Worker (Clinical)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
ERIN HAYS MCKEOWN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906
DENNIS LEONE M.D.
Psychiatry & Neurology (Psychiatry)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (393) 387-3232
ROXANA DUREN LHMC
Counselor (Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
AMY I HALE LMHC
Counselor (Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 223-2751
YARIMA REGLA PALMERO CASTELLANOS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
ELIZABETH HELEN BERRI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906

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 Elizabeth Blake's NPI number?

The NPI number for Elizabeth Blake is 1619832508. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Elizabeth Blake located?

Elizabeth Blake practices at 3191 Harbor Blvd Ste A, Port Charlotte, FL 33952. The listed phone number is (941) 883-4518.

What is Elizabeth Blake's specialty?

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

Is Elizabeth Blake enrolled in Medicare?

Yes. Elizabeth Blake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Blake reassigns Medicare benefits to 2 organizations: Dna Comprehensive Therapy Services, LLC (Fort Myers, FL) and Psychiatric Specialty Center LLC (Wellington, FL). Each 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 Elizabeth Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Blake accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Elizabeth 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 Elizabeth Blake was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.