MS. LORI ANN BLAKE (RN, BC, FNP) – Family Nurse Practitioner, NPI 1255397220
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MS. LORI ANN BLAKE (RN, BC, FNP)
PO BOX 844658
DALLAS, TX 752844658
Phone:
Type: Mailing
1001 ARBOR PARK
BELTON, TX 765138196
Phone: (254) 831-2000
Type: Location
4C NORTH AVE STE 403
BEL AIR, MD 210142333
Phone: (443) 567-6320
Fax: (443) 327-4951
Type: Mailing
1001 Arbor Park
Belton, TX 765138196
Phone: (254) 831-2000
Type: Location
West Northern Avenue, Glendale, Maricopa County, Arizona, 85302, United States
STE 101
GLENDALE, AZ 853051118
Phone: (623) 872-2226
Type: Location
14348, West La Reata Avenue, Goodyear, Maricopa County, Arizona, 85395, United States
GOODYEAR, AZ 853951475
Phone: (816) 509-3975
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210203000999 | I | Nurse Practitioner | TX | TBD |
| I20250128002731 | I | Nurse Practitioner | MD | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
Insurance plans in this area (ZIP 75284)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice, Surgical Oncology, Surgical Oncology | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.