BLAKE JONES (NP) – Nurse Practitioner, NPI 1700757986

BLAKE JONES (NP) is a healthcare provider. based in Fairfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP.0040177 (OH). The NPI Number for BLAKE JONES (NP) is 1700757986

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BLAKE JONES (NP)
NPI
1700757986
Phone
(513) 421-3494
Address
2960 MACK RD STE 201
Enumeration Date
12 September 2025
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195602638
Graduation Year
2025 (1 year ago)
PAC ID
5597255414
Group Practice PAC ID
3476960774
Professional Enrollment ID
I20251107002844
Address ID
OH452274244CI6624XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for BLAKE JONES (NP)

  • 2960 MACK RD STE 201

    FAIRFIELD, OH 450145300

    Phone: (513) 421-3494

    Fax: (513) 867-3241

    Type: Mailing

  • 6624 PLEASANT ST

    CINCINNATI, OH 452274244

    Phone: (419) 560-2638

    Fax: (513) 995-2432

    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: 2025-11-07

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
I20251107002844INurse PractitionerOHTBD

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 45014)

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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: 3476960774View full group profile
NameSpecialtyState
Physician AssistantWV
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify BLAKE JONES (NP) for billing?
Administrative and clinical systems typically use NPI 1700757986 for BLAKE JONES (NP).
Is BLAKE JONES (NP)'s NPI status active today?
Active status means BLAKE JONES (NP)'s NPI record is not deactivated in the public file.
What does the directory say BLAKE JONES (NP) does?
Insurance directories may phrase it differently, but here BLAKE JONES (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BLAKE JONES (NP) in Fairfield, Ohio?
For routing, start with Fairfield, Ohio for BLAKE JONES (NP), then verify phone and hours locally.
Can I export BLAKE JONES (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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