IRENE BLAKE
NPI 1902355803
Nurse Practitioner - Pediatrics, Critical Care in Laurel, MD
About Irene Blake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRENE BLAKE (NPI 1902355803) is an individual pediatrics, critical care provider in Laurel, Maryland, licensed in District Of Columbia (RN1009199) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Irene Blake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Irene Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Irene Blake's NPI number?
The NPI number for Irene Blake is 1902355803. It was assigned to this individual provider in the NPPES registry on October 3, 2016.
Where is Irene Blake located?
Irene Blake practices at 8211 Rambling Rose Ln, Laurel, MD 20724. The listed phone number is (240) 505-2473.
What is Irene Blake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Irene Blake enrolled in Medicare?
Yes. Irene Blake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Irene Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Irene Blake reassigns Medicare benefits to Johns Hopkins University (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irene Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Irene Blake was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Irene Blake · NPI 1902355803
Pediatrics, Critical Care physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since October 3, 2016.
## Identity
- **NPI:** 1902355803 (Entity type: Individual)
- **Enumerated:** October 3, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** RN1009199 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8211 RAMBLING ROSE LN, Laurel, MD 20724-1964
- **Phone:** (240) 505-2473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins University (NPI 1285453795, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1902355803) · Data from the CMS NPPES public registry.