JOSHUA DANIEL BLAKE (NP) – Family Nurse Practitioner, NPI 1104593102
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for JOSHUA DANIEL BLAKE (NP)
2622 W KIOWA ST
COLORADO SPRINGS, CO 809042513
Phone: (360) 698-6647
Type: Mailing
1120 MINNEQUA AVE
PUEBLO, CO 810043734
Phone: (328) 571-9281
Type: Location
PO BOX 173891
DENVER, CO 802173891
Phone: (877) 346-2211
Type: Mailing
1400 E BOULDER ST
COLORADO SPRINGS, CO 809095533
Phone: (719) 365-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Globus Medical, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $20 |
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: 2021-10-27
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 |
|---|---|---|---|---|
| I20211027000538 | I | Nurse Practitioner | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 101 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
Insurance plans in this area (ZIP 80904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Emergency Medicine | NC | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| Emergency Medicine | IN | |
| Emergency Medicine | CO | |
| Emergency Medicine | AZ |
Reviews
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