KIMBERLY A BLAKE ANP
NPI 1689626319
Nurse Practitioner - Adult Health in Harrison, NY
About Kimberly A Blake Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY A BLAKE ANP (NPI 1689626319) is an individual adult health provider in Harrison, New York, licensed in New York (F302529) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kimberly A Blake Anp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phelps Hospital
Acute Care Hospitals · Sleepy Hollow, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARRISON, NY 10528
HARRISON, NY 10528
HARRISON, NY 10528
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 Kimberly Blake's NPI number?
The NPI number for Kimberly Blake is 1689626319. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Kimberly Blake located?
Kimberly Blake practices at 106 Calvert St, Harrison, NY 10528. The listed phone number is (914) 835-0073.
What is Kimberly Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kimberly Blake enrolled in Medicare?
Yes. Kimberly 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 Kimberly Blake affiliated with any hospitals?
According to CMS data, Kimberly Blake is affiliated with Phelps Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Blake was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly A Blake, ANP · NPI 1689626319
Adult Health physician in Harrison, New York. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1689626319 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F302529 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 106 CALVERT ST, Harrison, NY 10528-3131
- **Phone:** (914) 835-0073 · **Fax:** (914) 835-1071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** January 21, 2020
- **Other identifiers:** Medicaid 02073710 (NY); Other 0667910001 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689626319) · Data from the CMS NPPES public registry.