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BLAKE HOERDEMAN DO
NPI 1992362420
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-5095 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2025, Aug 13, 2025, Apr 22, 2020 and 1 more (4 updates tracked since 2019).

About Blake Hoerdeman Do NPPES

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

BLAKE HOERDEMAN DO (NPI 1992362420) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1992362420
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE HOERDEMANCredential: DO
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-5095
Phone(910) 615-5095
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2020
Enumeration DateMay 21, 2019
Last NPPES UpdateApril 22, 20204 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1992362420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1638 OWEN DR, Fayetteville, NC 28304
Open in Google Maps ↗

Secondary Practice Location 1

Location 11841 Quiet CvFayetteville, NC 28304-3985 · Phone (910) 904-8686

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Hoerdeman Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779905336
PECOS Enrollment IDI20250903001556
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blake Hoerdeman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Fear Valley Health Medical Group LLC
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1638 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1104767508 (910) 672-0350
Cumberland County Hospital System Inc
Same address
Nurse Practitioner
1638 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1063964708 (910) 615-5490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

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.

MR. KEVIN TRAVIS WORTH CRNA
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
DR. OMAIR MOHAMED
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000

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 Hoerdeman's NPI number?

The NPI number for Blake Hoerdeman is 1992362420. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Blake Hoerdeman located?

Blake Hoerdeman practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-5095.

What is Blake Hoerdeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blake Hoerdeman enrolled in Medicare?

Yes. Blake Hoerdeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Blake Hoerdeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Hoerdeman reassigns Medicare benefits to 2 organizations: Cape Fear Valley Health Medical Group LLC (Fayetteville, NC) and Cumberland County Hospital System Inc (Fayetteville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Hoerdeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Hoerdeman accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Blake Hoerdeman 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.

Is Blake Hoerdeman affiliated with any hospitals?

According to CMS data, Blake Hoerdeman is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Hoerdeman was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.