Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE ANDREW NASO
NPI 1912716499
Physician Assistant - Medical in Wyandotte, MI

Q: What is Blake Naso's NPI number?

The NPI number for Blake Naso is 1912716499. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Q: What is Blake Naso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Naso was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since December 30, 2024PECOS Enrolled

1500 EUREKA RD, WYANDOTTE, MI 48192(734) 282-2500 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Dec 30, 2024 (2 updates tracked since 2024).

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About Blake Andrew Naso NPPES

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

BLAKE ANDREW NASO (NPI 1912716499) is an individual medical provider in Wyandotte, Michigan and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2025).

NPPES Registry Identity

NPI1912716499

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBLAKE ANDREW NASO

Location Address1500 EUREKA RDWyandotte, MI 48192-6103

Mailing Address1500 Eureka RdWyandotte, MI 48192-6103 · (734) 282-2500

Phone(734) 282-2500

Sole ProprietorYes

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2025

Enumeration DateDecember 30, 2024

Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration

NPPES CertifiedNovember 4, 2026

✔ NPI 1912716499 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

1500 EUREKA RD, Wyandotte, MI 48192

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Andrew Naso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183192461

PECOS Enrollment IDI20260505002631

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL WESLEY WHITWORTH D.O.

Dermatology (MOHS-Micrographic Surgery)