Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TRACY R BLAKE RD
NPI 1851570436
Dietitian, Registered in Orland Park, IL

Q: What is Tracy Blake's NPI number?

The NPI number for Tracy Blake is 1851570436. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Q: What is Tracy Blake's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Blake was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 30, 2007

94.1/100

CMS Quality Rating

15300 WEST AVE STE 221, ORLAND PARK, IL 60462(708) 590-5300(708) 590-5310 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Dec 1, 2021, Dec 28, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Mrs. Tracy R Blake Rd NPPES

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

MRS. TRACY R BLAKE RD (NPI 1851570436) is an individual dietitian, registered in Orland Park, Illinois, licensed in Illinois (164.004441) and active in the NPI registry since October 2007. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1851570436

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. TRACY R BLAKECredential: RD

Location Address15300 WEST AVE STE 221Orland Park, IL 60462-4508

Mailing Address15300 West Ave Ste 221Orland Park, IL 60462-4508 · (708) 590-5300 · Fax (708) 590-5310

Phone(708) 590-5300

Fax(708) 590-5310

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 30, 2007

Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration

NPPES CertifiedDecember 1, 2021

✔ NPI 1851570436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.004441

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

15300 WEST AVE STE 221, Orland Park, IL 60462

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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

Mrs. Tracy R Blake Rd 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 ID7517140981

PECOS Enrollment IDI20110322000696

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

42 services20 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

36 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

JOY MATTSON-PETRUSHA RD

Dietitian, Registered

15300 WEST AVE STE 221
ORLAND PARK, IL 60462

Cook County (708) 590-5300

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 Tracy Blake's NPI number?

The NPI number for Tracy Blake is 1851570436. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Tracy Blake located?

Tracy Blake practices at 15300 West Ave Ste 221, Orland Park, IL 60462. The listed phone number is (708) 590-5300.

What is Tracy Blake's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tracy Blake enrolled in Medicare?

Yes. Tracy 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.

When was this NPI record last updated?

The NPPES record for Tracy Blake was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.