DANIELLE BLAKE (FNP-C) – Family Nurse Practitioner, NPI 1144836701
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for DANIELLE BLAKE (FNP-C)
1511 N ALEXANDER AVE
ROYAL OAK, MI 480673632
Phone: (269) 720-4962
Type: Mailing
1402 W 14 Mile Rd
Clawson, MI 480171499
Phone: (248) 435-7414
Type: Location
1402 W 14 MILE RD
CLAWSON, MI 480171499
Phone: (248) 435-7414
Type: Location
4100 JOHN R ST
DETROIT, MI 482012013
Phone: (800) 527-6266
Fax: (313) 576-8381
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $25,139.
Total Amount is formed as General ($25,139) + Research ($0) + Ownership ($0) = $25,139.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($22,981).
Total Amount
$25,139
General + Research + Ownership
Payments
65
Total payment records
General Amount
$25,139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $22,981 |
| BeiGene USA, Inc. | $517 |
| Adaptive Biotechnologies Corporation | $291 |
| Janssen Biotech, Inc. | $244 |
| PFIZER INC. | $142 |
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: 2021-03-30
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 |
|---|---|---|---|---|
| I20210330002393 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| H O S P I T A L I S T | MI | |
| - | MI | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | MI | |
| Internal Medicine, Infectious Disease | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| O P H T H A L M O L O G Y | PA |
Reviews
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