TODD DAVID BLAKLEY PHYSICIAN ASSISTANT
NPI 1861405227
Physician Assistant - Medical in Vancouver, WA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
14406 NE 20TH AVE, VANCOUVER, WA 98686(360) 571-3053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd David Blakley Physician Assistant NPPES

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

TODD DAVID BLAKLEY PHYSICIAN ASSISTANT (NPI 1861405227) is an individual medical provider in Vancouver, Washington, licensed in Washington (WA PA10003448) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1861405227
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTODD DAVID BLAKLEYCredential: PHYSICIAN ASSISTANT
Location Address14406 NE 20TH AVEVancouver, WA 98686-1448
Mailing Address3905 Nw 119th StVancouver, WA 98685-3593 · (360) 571-3053
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861405227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · WA PA10003448
14406 NE 20TH AVE, Vancouver, WA 98686

Accepted 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

Todd David Blakley Physician Assistant 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 ID7911082755
PECOS Enrollment IDI20180705002889
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.

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.

Dermatology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Dentist (General Practice)
14406 NE 20TH AVE
VANCOUVER, WA 98686
Obstetrics & Gynecology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Dental Hygienist
14406 NE 20TH AVE
VANCOUVER, WA 98686
Advanced Practice Midwife
14406 NE 20TH AVE
VANCOUVER, WA 98686
Ophthalmology
14406 NE 20TH AVE
VANCOUVER, WA 98686
Internal Medicine
14406 NE 20TH AVE
VANCOUVER, WA 98686

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 Todd Blakley's NPI number?

The NPI number for Todd Blakley is 1861405227. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Todd Blakley located?

Todd Blakley practices at 14406 NE 20th Ave, Vancouver, WA 98686. The listed phone number is (360) 571-3053.

What is Todd Blakley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Todd Blakley enrolled in Medicare?

Yes. Todd Blakley 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 Todd Blakley accept?

Health plans from Kaiser Permanente list Todd Blakley 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.

When was this NPI record last updated?

The NPPES record for Todd Blakley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.