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IRENE BLAKE
NPI 1902355803
Nurse Practitioner - Pediatrics, Critical Care in Laurel, MD

Active since October 03, 2016PECOS Enrolled
8211 RAMBLING ROSE LN, LAUREL, MD 20724(240) 505-2473 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1902355803
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameIRENE BLAKE
Location Address8211 RAMBLING ROSE LNLaurel, MD 20724-1964
Mailing Address8211 Rambling Rose LnLaurel, MD 20724-1964 · (240) 505-2473
Phone(240) 505-2473
Sole ProprietorNo
Enumeration DateOctober 3, 2016
✔ NPI 1902355803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in DC · RN1009199
8211 RAMBLING ROSE LN, Laurel, MD 20724
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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 (PECOS)

Irene Blake 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 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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 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.

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 9 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.