JESSICA CAROLE BLAKE FNP
NPI 1760154447
Nurse Practitioner in Newberry, SC

Q: What is Jessica Blake's NPI number?

The NPI number for Jessica Blake is 1760154447. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Q: What is Jessica 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 Jessica Blake was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 October 01, 2021PECOS EnrolledAccepts Medicare Assignment

1410 WILSON RD, NEWBERRY, SC 29108(803) 276-2186(803) 276-2630 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2025, Dec 3, 2024, Feb 14, 2022 and 2 more (5 updates tracked since 2021).

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About Jessica Carole Blake Fnp NPPES

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

JESSICA CAROLE BLAKE FNP (NPI 1760154447) is an individual nurse practitioner in Newberry, South Carolina, licensed in South Carolina (25430) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Newberry County Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760154447

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA CAROLE BLAKECredential: FNP

Location Address1410 WILSON RDNewberry, SC 29108-3050

Mailing AddressPo Box 749306Atlanta, GA 30374-9306

Phone(803) 276-2186

Fax(803) 276-2630

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 1, 2021

Last NPPES UpdateJanuary 7, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1760154447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 25430

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 25430 (SC)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 25430 (SC)

1410 WILSON RD, Newberry, SC 29108

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Secondary Practice Locations 4

Location 17430 College StIrmo, SC 29063-2903 · Phone (839) 200-7810 · Fax (803) 891-7085

Location 22720 Sunset BlvdWest Columbia, SC 29169-4810 · Phone (803) 936-7372 · Fax (803) 936-4102

Location 31330 Dutch Fork RdIrmo, SC 29063-8825 · Phone (803) 749-1666

Location 4555 E Cheves StFlorence, SC 29506-2617 · Phone (843) 777-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Carole Blake Fnp 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 ID8022400415

PECOS Enrollment IDI20220114001507

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 Jessica Blake reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health Inc

16 mi

Family Medicine

1612 CHAPIN RD
Chapin, SC 29036

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1316544703 (803) 345-3414

Three Rivers Medical Associates, PA

28 mi

Internal Medicine

7430 COLLEGE ST
Irmo, SC 29063

Reassigned Medicare billing, South Carolina enrollment
20 clinicians in this Medicare group

NPI 1760445597 (839) 200-7510

Novant Health Urgent Cares LLC

62 mi

Urgent Care

2126 HIGHWAY 81 N
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
133 clinicians in this Medicare group

NPI 1841026382 (999) 999-9999

Medcare Urgent Care Center - Anderson LLC

62 mi

Urgent Care

801 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Medcare Express - North Charleston LLC
113 clinicians in this Medicare group

NPI 1689004095 (843) 793-6093

Mcleod Regional Medical Center Of The Pee Dee, Inc

106 mi

Emergency Medical Services

555 E CHEVES ST
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
816 clinicians in this Medicare group

NPI 1154371433 (843) 777-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

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.

467 services289 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

212 services143 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

142 services107 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

112 services90 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

100 services87 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

76 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services58 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

56 services47 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

54 services45 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

48 services43 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

46 services17 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

35 services34 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

35 services35 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

32 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

31 services31 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

25 services25 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

22 services22 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

20 services18 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

16 services14 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

11 services11 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number420053

Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29108 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

PROGRESSIVE PHYSICAL THERAPY, PA

Physical Therapist

1410 WILSON RD
NEWBERRY, SC 29108

Newberry County (803) 276-2966

DOCTORS CARE SC, PA

Family Medicine

1410 WILSON RD
NEWBERRY, SC 29108

Newberry County (803) 276-2186

MS. MARNIE VANSTRUM MD

Family Medicine

1410 WILSON RD
NEWBERRY, SC 29108

Newberry County (803) 276-2186

JOSHUA FORMANECK

Physician Assistant

1410 WILSON RD
NEWBERRY, SC 29108

Newberry County (803) 276-2186

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 Jessica Blake's NPI number?

The NPI number for Jessica Blake is 1760154447. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Jessica Blake located?

Jessica Blake practices at 1410 Wilson Rd, Newberry, SC 29108. The listed phone number is (803) 276-2186.

What is Jessica Blake's specialty?

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

Is Jessica Blake enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Blake reassigns Medicare benefits to 5 organizations: Lexington Health Inc (Chapin, SC), Three Rivers Medical Associates, PA (Irmo, SC), Novant Health Urgent Cares LLC (Anderson, SC), Medcare Urgent Care Center - Anderson LLC (Anderson, SC) and Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC). 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 Jessica Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Blake accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Jessica 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.

Is Jessica Blake affiliated with any hospitals?

According to CMS data, Jessica Blake is affiliated with Newberry County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Blake was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.