BLAKE EDWARD HASS (MD) – Family Medicine Physician, NPI 1124764394

BLAKE EDWARD HASS (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36558 (NE). The NPI Number for BLAKE EDWARD HASS (MD) is 1124764394

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE EDWARD HASS (MD)
NPI
1124764394
Phone
(402) 559-7249
Address
983075 NEBRASKA MEDICAL CTR
Enumeration Date
10 May 2022
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023722404
Graduation Year
2022 (4 years ago)
PAC ID
3870971740
Group Practice PAC ID
4284624909
Professional Enrollment ID
I20250821003810
Address ID
NE687881595WE430XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

Provider Addresses for BLAKE EDWARD HASS (MD)

  • 983075 NEBRASKA MEDICAL CTR

    OMAHA, NE 681983075

    Phone: (402) 559-7249

    Type: Mailing

  • 430 N MONITOR ST

    WEST POINT, NE 687881595

    Phone: (402) 372-6717

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($29).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

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: 2025-08-21

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
I20250821003810IFamily PracticeNETBD

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 68198)

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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: 4284624909View full group profile
NameSpecialtyState
Nurse PractitionerNE
Physician AssistantNE
-NE
Plastic And Reconstructive Surgery, General SurgerySD
Family PracticeNE
General SurgeryNE
Physician AssistantNE
Hand Surgery, Orthopedic SurgeryMN
Family PracticeNE
Cardiovascular Disease (Cardiology)NE

Reviews

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Frequently asked questions

How do payers reference BLAKE EDWARD HASS (MD)?
For BLAKE EDWARD HASS (MD), use NPI 1124764394 as the unique 10-digit identifier.
Would BLAKE EDWARD HASS (MD) appear as active to a payer?
You can treat BLAKE EDWARD HASS (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BLAKE EDWARD HASS (MD)?
BLAKE EDWARD HASS (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BLAKE EDWARD HASS (MD)?
Travel planning: use Omaha, Nebraska as the reference point for BLAKE EDWARD HASS (MD), then confirm.
Does BLAKE EDWARD HASS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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