BLAKE RITTER – Psychiatric/Mental Health Nurse Practitioner, NPI 1093135733

BLAKE RITTER is a healthcare provider. based in South boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2284030 (MA). The NPI Number for BLAKE RITTER is 1093135733

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE RITTER
NPI
1093135733
Phone
(617) 268-1700
Address
58 OLD COLONY AVE
Enumeration Date
21 April 2014
Last Update Date
13 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176365000
Graduation Year
2014 (12 years ago)
PAC ID
5395068001
Group Practice PAC ID
8921999525
Professional Enrollment ID
I20150514001395
Address ID
MA021111526BO800XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for BLAKE RITTER

  • 58 OLD COLONY AVE

    SOUTH BOSTON, MA 021272406

    Phone: (617) 268-1700

    Type: Location

  • 71 FULKERSON ST

    APT 304

    CAMBRIDGE, MA 021412048

    Phone: (617) 515-4247

    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: 2015-05-14

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
I20150514001395INurse PractitionerMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5935$0
99212Established patient office or other outpatient visit, 10-19 minutes5034$0
View full utilization report →

Insurance plans in this area (ZIP 02127)

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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: 8921999525View full group profile

Reviews

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Frequently asked questions

How is BLAKE RITTER identified in CMS data?
CMS-hosted NPPES data lists BLAKE RITTER with NPI 1093135733.
Is BLAKE RITTER listed as active for patients and plans?
The listing shows BLAKE RITTER as active in the NPI system.
What is BLAKE RITTER's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for BLAKE RITTER here. Clinical services aligned with this taxonomy classification.
Where is BLAKE RITTER based?
BLAKE RITTER is tied to South Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does BLAKE RITTER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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