JUDI ELLEN BLAKE (PA-C) – Surgical Physician Assistant, NPI 1548916786
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JUDI ELLEN BLAKE (PA-C)
1300 E Central Rd
Arlington Heights, IL 600052857
Phone: (847) 870-6100
Fax: (847) 870-8159
Type: Location
27539 SE 29TH CT
SAMMAMISH, WA 980754127
Phone: (425) 344-6716
Type: Mailing
4311 11TH AVE NE STE 200
SEATTLE, WA 981056367
Phone: (206) 616-4001
Type: Location
2100 PFINGSTEN RD STE 3001
GLENVIEW, IL 600261301
Phone: (847) 657-5815
Fax: (847) 657-3724
Type: Mailing
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 $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: OMNIlife science, Inc ($39).
Total Amount
$39
General + Research + Ownership
Payments
1
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OMNIlife science, Inc | $39 |
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: 2023-01-23
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 |
|---|---|---|---|---|
| I20230123002203 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 68 | 68 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 61 | 61 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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