MS. KIMBERLY LORENE BLAKE (FNP-C) – Family Nurse Practitioner, NPI 1689971749
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MS. KIMBERLY LORENE BLAKE (FNP-C)
1125 SKYLINE DR
CONWAY, AR 720322857
Phone: (501) 358-6120
Fax: (501) 358-6268
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($19).
Total Amount
$49
General + Research + Ownership
Payments
3
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111111000667 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 79 | 77 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 35 | 35 | $0 |
Insurance plans in this area (ZIP 72032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Nurse Practitioner | AR | |
| Emergency Medicine | LA | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Emergency Medicine | AR | |
| Family Practice, Emergency Medicine | AR |
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