CAMERON BLAKE – Physician Assistant, NPI 1811564842

CAMERON BLAKE is a healthcare provider. based in Newcastle, Maine. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA2212 (ME). The NPI Number for CAMERON BLAKE is 1811564842

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON BLAKE
NPI
1811564842
Phone
Not provided
Address
4 MILLS RD PMB 103
Enumeration Date
8 June 2021
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075631234
Graduation Year
2021 (5 years ago)
PAC ID
8123417581
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20211105001649
Address ID
ME045434047DA35XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for CAMERON BLAKE

  • 4 MILLS RD PMB 103

    NEWCASTLE, ME 04553

    Phone:

    Type: Mailing

  • 35 MILES ST

    DAMARISCOTTA, ME 045434047

    Phone: (207) 563-1234

    Type: Location

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: 2021-11-05

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
I20211105001649IPhysician AssistantMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes22892$0
99239Hospital discharge day management, more than 30 minutes4544$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 04553)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

Does CAMERON BLAKE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CAMERON BLAKE uses 1811564842.
Is CAMERON BLAKE listed as active for patients and plans?
The listing shows CAMERON BLAKE as active in the NPI system.
What is CAMERON BLAKE best known for clinically?
Directory data describes CAMERON BLAKE with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does CAMERON BLAKE serve?
CAMERON BLAKE's listing highlights Newcastle, Maine; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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