MR. KEITH LOREN BLAIR APRN-CNP
NPI 1710762091
Nurse Practitioner in Modesto, CA

Q: What is Keith Blair's NPI number?

The NPI number for Keith Blair is 1710762091. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Q: What is Keith Blair'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 Keith Blair was last updated on October 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2023PECOS Enrolled

1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3525 Get Directions Write a Review

NPPES record last updated: October 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2023, Sep 7, 2023, Aug 25, 2023 (3 updates tracked since 2023).

On this page

About Mr. Keith Loren Blair Aprn-cnp NPPES

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

MR. KEITH LOREN BLAIR APRN-CNP (NPI 1710762091) is an individual nurse practitioner in Modesto, California, licensed in California (95026892) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1710762091

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. KEITH LOREN BLAIRCredential: APRN-CNP

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address1441 Florida AveModesto, CA 95350-4404 · (405) 564-4107

Phone(209) 576-3525

Sole ProprietorNo

Enumeration DateAugust 25, 2023

Last NPPES UpdateOctober 7, 20233 updates tracked since enumeration

NPPES CertifiedOctober 7, 2023

✔ NPI 1710762091 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 CA · 95026892

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.

1441 FLORIDA AVE, Modesto, CA 95350

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Secondary Practice Location 1

Location 11317 Oakdale Rd Ste 440Modesto, CA 95355-3364 · Phone (209) 522-3362

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith Loren Blair Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Pulmonary & Critical Care Associates Of Modesto Inc

Same address

Pulmonary Disease

1441 FLORIDA AVE, HOSPITALIST OFFICE
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
15 clinicians in this Medicare group

NPI 1669849394 (209) 576-3525

Family First Medical Care A Professional Corporation

2.2 mi

Multi-Specialty

1317 OAKDALE RD STE 440
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1689066029 (209) 522-3362

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 95350 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program