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BLAKE LAWRENCE
NPI 1902314289
Nurse Practitioner in Pleasant Grove, UT

Active since January 20, 2018PECOS Enrolled
2100 W PLEASANT GROVE BLVD STE 270, PLEASANT GROVE, UT 84062(208) 316-9539 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Lawrence NPPES

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

BLAKE LAWRENCE (NPI 1902314289) is an individual nurse practitioner in Pleasant Grove, Utah, licensed in Utah (12078815-4405) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902314289
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBLAKE LAWRENCE
Location Address2100 W PLEASANT GROVE BLVD STE 270Pleasant Grove, UT 84062-3375
Mailing Address634 S 1870 WOrem, UT 84059-4963 · (208) 316-9539
Phone(208) 316-9539
Sole ProprietorYes
Enumeration DateJanuary 20, 2018
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedNovember 30, 2023
✔ NPI 1902314289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 12078815-4405
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.
2100 W PLEASANT GROVE BLVD STE 270, Pleasant Grove, UT 84062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Lawrence is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84062 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Lawrence's NPI number?

The NPI number for Blake Lawrence is 1902314289. It was assigned to this individual provider in the NPPES registry on January 20, 2018.

Where is Blake Lawrence located?

Blake Lawrence practices at 2100 W Pleasant Grove Blvd Ste 270, Pleasant Grove, UT 84062. The listed phone number is (208) 316-9539.

What is Blake Lawrence's specialty?

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

Is Blake Lawrence enrolled in Medicare?

Yes. Blake Lawrence is registered in the Medicare PECOS enrollment system.

What insurance does Blake Lawrence accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Blake Lawrence 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 Blake Lawrence was last updated on January 26, 2024. 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.