JUDITH ELISE BLAKE PA-C
NPI 1942749965
Physician Assistant - Surgical in Daphne, AL

Active since February 23, 2017PECOS Enrolled
70.98/100
CMS Quality Rating
1505 DAPHNE AVE, DAPHNE, AL 36526(251) 625-2663(251) 625-3198 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2023, Jan 14, 2019, Aug 29, 2018 and 1 more (4 updates tracked since 2017).

About Judith Elise Blake Pa-c NPPES

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

JUDITH ELISE BLAKE PA-C (NPI 1942749965) is an individual surgical provider in Daphne, Alabama, licensed in Alabama (PA.1207) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942749965
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJUDITH ELISE BLAKECredential: PA-C
Location Address1505 DAPHNE AVEDaphne, AL 36526-4298
Mailing Address1505 Daphne AveDaphne, AL 36526-4298 · (251) 625-2663 · Fax (251) 625-3198
Fax(251) 625-3198
Sole ProprietorNo
Enumeration DateFebruary 23, 2017
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1942749965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AL · PA.1207
1505 DAPHNE AVE, Daphne, AL 36526

Accepted 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)

Judith Elise 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
542 services199 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
105 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services39 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.74
Promoting Interoperability84
Improvement Activities40
Cost51.88

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.

Anesthesiology (Pain Medicine)
1505 DAPHNE AVE
DAPHNE, AL 36526
Family Medicine (Sports Medicine)
1505 DAPHNE AVE
DAPHNE, AL 36526
Nurse Practitioner
1505 DAPHNE AVE
DAPHNE, AL 36526
Physician Assistant
1505 DAPHNE AVE
DAPHNE, AL 36526
Physician Assistant
1505 DAPHNE AVE
DAPHNE, AL 36526
Physical Therapist
1505 DAPHNE AVE
DAPHNE, AL 36526
Occupational Therapist
1505 DAPHNE AVE
DAPHNE, AL 36526
Specialist
1505 DAPHNE AVE
DAPHNE, AL 36526

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 Judith Blake's NPI number?

The NPI number for Judith Blake is 1942749965. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Where is Judith Blake located?

Judith Blake practices at 1505 Daphne Ave, Daphne, AL 36526. The listed phone number is (251) 625-2663.

What is Judith Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Judith Blake enrolled in Medicare?

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

What insurance does Judith Blake accept?

Health plans from Blue Cross and Blue Shield of Alabama list Judith Blake 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 Judith Blake was last updated on October 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.