1. Home
  2. Directory
  3. West Virginia
  4. Glen Dale
  5. Physician Assistant
  6. NPI Profile

KORI BLAKE
NPI 1790553576
Physician Assistant in Glen Dale, WV

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment
1107 GLEN DALE HEIGHTS RD, GLEN DALE, WV 26038(304) 281-4344 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kori Blake NPPES

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

KORI BLAKE (NPI 1790553576) is an individual physician assistant in Glen Dale, West Virginia and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790553576
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKORI BLAKE
Location Address1107 GLEN DALE HEIGHTS RDGlen Dale, WV 26038-1092
Mailing Address1107 Glen Dale Heights RdGlen Dale, WV 26038-1092 · (304) 281-4344
Phone(304) 281-4344
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1790553576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1107 GLEN DALE HEIGHTS RD, Glen Dale, WV 26038
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kori Blake 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 ID2860993938
PECOS Enrollment IDI20250829002005
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.

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kori Blake's NPI number?

The NPI number for Kori Blake is 1790553576. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Kori Blake located?

Kori Blake practices at 1107 Glen Dale Heights Rd, Glen Dale, WV 26038. The listed phone number is (304) 281-4344.

What is Kori Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kori Blake enrolled in Medicare?

Yes. Kori 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.

What insurance does Kori Blake accept?

Health plans from CareSource list Kori 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 Kori Blake affiliated with any hospitals?

According to CMS data, Kori Blake is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kori Blake was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.