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VICTORIA LEE BLAKE PA-C
NPI 1902561921
Physician Assistant in Bryn Mawr, PA

Active since November 04, 2021PECOS Enrolled
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010(484) 337-3000 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2025, Nov 4, 2021 (2 updates tracked since 2021).

About Victoria Lee Blake Pa-c NPPES

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

VICTORIA LEE BLAKE PA-C (NPI 1902561921) is an individual physician assistant in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MA063149) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902561921
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA LEE BLAKECredential: PA-C
Location Address130 S BRYN MAWR AVEBryn Mawr, PA 19010-3143
Mailing Address130 S Bryn Mawr AveBryn Mawr, PA 19010-3121 · (484) 337-3000
Phone(484) 337-3000
Sole ProprietorNo
Enumeration DateNovember 4, 2021
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1902561921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA063149
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

130 S BRYN MAWR AVE, Bryn Mawr, PA 19010
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Other Names 1

Former Name (1)Victoria Lang Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Lee Blake Pa-c 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 19010 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. WILLIAM H PFEFFER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 S BRYN MAWR AVE, SUITE 1000 D WING
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
JOHN J ORRIS D.O.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 S BRYN MAWR AVE, SUITE 1000 D WING
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
MICHAEL J GLASSNER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 S BRYN MAWR AVE, SUITE 1000 D WING
BRYN MAWR, PA 19010
Delaware County (610) 527-0800
MARINA JEAN COONEY MD
Psychiatry & Neurology (Psychiatry)
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL PSYCHIATRIC UNIT
BRYN MAWR, PA 19010
Delaware County (484) 337-4286
JAMES H RIGSBEE PAC
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Delaware County (610) 526-3583
DR. SHALINI HARIGOVIND MD
Internal Medicine
130 S BRYN MAWR AVE, SUITE H-321
BRYN MAWR, PA 19010
Delaware County (610) 526-4097
DR. SIVASANKARA RAO KOSARAJU MD
Internal Medicine
130 S BRYN MAWR AVE, SUITE H-321
BRYN MAWR, PA 19010
Delaware County (610) 526-4097
DR. LAWRENCE K MCKNIGHT MD
Internal Medicine
130 S BRYN MAWR AVE, SUITE H-321
BRYN MAWR, PA 19010
Delaware County (610) 526-4097

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 Victoria Blake's NPI number?

The NPI number for Victoria Blake is 1902561921. It was assigned to this individual provider in the NPPES registry on November 4, 2021. The provider is also known as Victoria Lang Pa-C.

Where is Victoria Blake located?

Victoria Blake practices at 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010. The listed phone number is (484) 337-3000.

What is Victoria Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Victoria Blake enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Victoria Blake was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.