HANNAH MARIE BLAKE – Speech-Language Pathologist, NPI 1265291306

HANNAH MARIE BLAKE is a healthcare provider. based in Davison, Michigan. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. The NPI Number for HANNAH MARIE BLAKE is 1265291306

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH MARIE BLAKE
NPI
1265291306
Phone
(810) 399-9779
Address
1214 LEMPI DR
Enumeration Date
18 March 2024
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892628500
Graduation Year
2024 (2 years ago)
PAC ID
9133651979
Group Practice PAC ID
8820244221
Professional Enrollment ID
I20241017001316
Address ID
MI487341255FR184XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

332 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MI

Provider Addresses for HANNAH MARIE BLAKE

  • 1214 LEMPI DR

    DAVISON, MI 484232884

    Phone: (810) 399-9779

    Mailing address matches the actual address.

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: 2024-10-17

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
I20241017001316IQualified Speech Language PathologistMITBD

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 48423)

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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: 8820244221View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Qualified Speech Language PathologistIA
-MI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify HANNAH MARIE BLAKE with an NPI only?
You can start verification with NPI 1265291306 for HANNAH MARIE BLAKE, then check state licensing separately.
Is HANNAH MARIE BLAKE still practicing?
HANNAH MARIE BLAKE is currently listed as active in the public NPI registry.
What is HANNAH MARIE BLAKE best known for clinically?
Directory data describes HANNAH MARIE BLAKE with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is HANNAH MARIE BLAKE based?
HANNAH MARIE BLAKE is tied to Davison, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about HANNAH MARIE BLAKE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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