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BLAKE STEVEN BOULDIN
NPI 1841147337
Nurse Practitioner - Psychiatric/Mental Health in Castaic, CA

Active since March 13, 2026PECOS EnrolledAccepts Medicare Assignment
28141 BRANCH RD, CASTAIC, CA 91384(818) 731-8759 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Steven Bouldin NPPES

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

BLAKE STEVEN BOULDIN (NPI 1841147337) is an individual psychiatric/mental health provider in Castaic, California, licensed in California (95038915) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841147337
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBLAKE STEVEN BOULDIN
Location Address28141 BRANCH RDCastaic, CA 91384-3002
Mailing Address28141 Branch RdCastaic, CA 91384-3002 · (818) 731-8759
Phone(818) 731-8759
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1841147337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95038915
28141 BRANCH RD, Castaic, CA 91384
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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

Blake Steven Bouldin 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 ID2769959519
PECOS Enrollment IDI20260429002034
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91384 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Blake Bouldin's NPI number?

The NPI number for Blake Bouldin is 1841147337. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Where is Blake Bouldin located?

Blake Bouldin practices at 28141 Branch Rd, Castaic, CA 91384. The listed phone number is (818) 731-8759.

What is Blake Bouldin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blake Bouldin enrolled in Medicare?

Yes. Blake Bouldin 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.

When was this NPI record last updated?

The NPPES record for Blake Bouldin was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.