ANDREA BLAKE (ARNP) – Gerontology Nurse Practitioner, NPI 1174637748
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for ANDREA BLAKE (ARNP)
MercyOne Des Moines Medical Center, 1111, 6th Avenue, Des Moines, Polk County, Iowa, 50314, United States
EAST TOWER SUITE A100
DES MOINES, IA 503142610
Phone: (515) 358-0011
Type: Location
Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States
DES MOINES, IA 503061475
Phone: (515) 643-4973
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-08-01
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 |
|---|---|---|---|---|
| I20230801002997 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 55 | 16 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 18 | 15 | $0 |
Insurance plans in this area (ZIP 50314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NH | |
| Nurse Practitioner | OH | |
| Physician Assistant | CT | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Nurse Practitioner | LA | |
| Physician Assistant | ME | |
| Physician Assistant | ME | |
| Physician Assistant | NV | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | TX |
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