DR. BLAKE LAURSEN DC
NPI 1972135341
Physician Assistant in San Antonio, TX

Active since February 04, 2020PECOS Enrolled
8715 VILLAGE DR STE 120, SAN ANTONIO, TX 78217(210) 477-5151 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Nov 1, 2023, Feb 4, 2020 (3 updates tracked since 2020).

About Dr. Blake Laursen Dc NPPES

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

DR. BLAKE LAURSEN DC (NPI 1972135341) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA20046) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972135341
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. BLAKE LAURSENCredential: DC
Location Address8715 VILLAGE DR STE 120San Antonio, TX 78217-5425
Mailing AddressPo Box 5730Belfast, ME 04915-5700 · (888) 402-7256
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 4, 2020
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1972135341 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 TX · PA20046
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.
8715 VILLAGE DR STE 120, San Antonio, TX 78217

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Blake Laursen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082042692
PECOS Enrollment IDI20260403002054
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 78217 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 5

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

Physical Therapist
8715 VILLAGE DR STE 120
SAN ANTONIO, TX 78217
Durable Medical Equipment & Medical Supplies
8715 VILLAGE DR STE 120
SAN ANTONIO, TX 78217
Orthopaedic Surgery (Orthopaedic Trauma)
8715 VILLAGE DR STE 120
SAN ANTONIO, TX 78217
Physical Therapist (Orthopedic)
8715 VILLAGE DR STE 120
SAN ANTONIO, TX 78217
Physician Assistant
8715 VILLAGE DR STE 120
SAN ANTONIO, TX 78217

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 Blake Laursen's NPI number?

The NPI number for Blake Laursen is 1972135341. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Blake Laursen located?

Blake Laursen practices at 8715 Village Dr Ste 120, San Antonio, TX 78217. The listed phone number is (210) 477-5151.

What is Blake Laursen's specialty?

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

Is Blake Laursen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Laursen was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.