MS. KIMBERLY LORENE BLAKE FNP-C
NPI 1689971749
Nurse Practitioner - Family in Conway, AR

Q: What is Kimberly Blake's NPI number?

The NPI number for Kimberly Blake is 1689971749. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Q: What is Kimberly 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 Kimberly Blake was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment

1125 SKYLINE DR, CONWAY, AR 72032(501) 358-6120(501) 358-6268 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Kimberly Lorene Blake Fnp-c NPPES

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

MS. KIMBERLY LORENE BLAKE FNP-C (NPI 1689971749) is an individual family provider in Conway, Arkansas, licensed in Arkansas (A03482 ANP) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689971749

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KIMBERLY LORENE BLAKECredential: FNP-C

Location Address1125 SKYLINE DRConway, AR 72032-6657

Mailing Address1125 Skyline DrConway, AR 72032-2857 · (501) 358-6120 · Fax (501) 358-6268

Phone(501) 358-6120

Fax(501) 358-6268

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 24, 2011

Last NPPES UpdateMay 10, 2017

✔ NPI 1689971749 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 AR · A03482 ANP

1125 SKYLINE DR, Conway, AR 72032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Ms. Kimberly Lorene Blake Fnp-c 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 ID941474738

PECOS Enrollment IDI20111111000667

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 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

58 services58 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

55 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72032 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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Other Providers at the Same Location NPPES 6

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

WILLIAM C PITTMAN M.D.

Family Medicine