SHEENA MICHELE BLAKE (APRN) – Nurse Practitioner, NPI 1083218820

SHEENA MICHELE BLAKE (APRN) is a healthcare provider. based in Elkton, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3015136 (KY). The NPI Number for SHEENA MICHELE BLAKE (APRN) is 1083218820

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHEENA MICHELE BLAKE (APRN)
NPI
1083218820
Phone
(270) 265-5600
Address
810 S MAIN ST
Enumeration Date
23 November 2020
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702655600
Graduation Year
2020 (6 years ago)
PAC ID
1850705054
Group Practice PAC ID
4082855069
Professional Enrollment ID
I20210129001256
Address ID
KY422208812EL810XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for SHEENA MICHELE BLAKE (APRN)

  • 810 S MAIN ST

    ELKTON, KY 422208812

    Phone: (270) 265-5600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,200.

Total Amount is formed as General ($1,200) + Research ($0) + Ownership ($0) = $1,200.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($235).

Total Amount

$1,200

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210129001256INurse PractitionerKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42220)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082855069View full group profile
NameSpecialtyState
Family PracticeKY
-KY
Family PracticeTN
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for SHEENA MICHELE BLAKE (APRN)?
Save NPI 1083218820 if you need a stable reference for SHEENA MICHELE BLAKE (APRN).
Is SHEENA MICHELE BLAKE (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHEENA MICHELE BLAKE (APRN)'s specialty in plain language?
Clinically, the directory lists SHEENA MICHELE BLAKE (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SHEENA MICHELE BLAKE (APRN)'s primary listing?
We display Elkton, Kentucky because that is what the record indicates for SHEENA MICHELE BLAKE (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

3199 BEECHLAND QUALITY RD
NPI: 1699762690

DIETTA L GUESS (APRN)

Nurse Practitioner
713, West Main Street, Elkton, Todd County, Kentucky, 42220, United States
NPI: 1235193103

GUADALUPE ROBLES MISQUEZ (N.P.)

Gerontology Nurse Practitioner
8065 WEBB AVE STE A
NPI: 1447389895

ELKTON CLINIC PSC

Internal Medicine Physician
PO BOX 487
NPI: 1457667461
713 W MAIN ST
NPI: 1194260976

JACOB DOUGLAS HENRY (APRN-CNP)

Acute Care Nurse Practitioner
713 W Main St
NPI: 1881438869

Med Center Health Primary Care Elkton

Family Medicine Physician
PO BOX 2697
NPI: 1477399350

YVETTE MCMILLAN

Nurse Practitioner
713 W Main St
NPI: 1689470494