BLAKE WILLIAM BOELENS (PA-C) – Physician Assistant, NPI 1407401607
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for BLAKE WILLIAM BOELENS (PA-C)
Midland College, 3600, North Garfield Street, Wadley Heights, Midland, Midland County, Texas, 79705, United States
MIDLAND, TX 797056329
Phone: (432) 620-9905
Type: Location
281 W Southlake Blvd
Southlake, TX 760927052
Phone: (817) 704-1431
Type: Location
11500 STATE HIGHWAY 121 STE 930
FRISCO, TX 750359347
Phone: (469) 200-4093
Type: Mailing
11500 STATE HIGHWAY 121 STE 510
FRISCO, TX 750359348
Phone: (469) 200-4093
Fax: (469) 200-4079
Type: Location
1536, Morin Drive, Denton, Denton County, Texas, 76207, United States
DENTON, TX 762077785
Phone: (940) 600-0398
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 247 Open Payments records for all available years, with a total value of $4,438.
Total Amount is formed as General ($4,438) + Research ($0) + Ownership ($0) = $4,438.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($534).
Total Amount
$4,438
General + Research + Ownership
Payments
247
Total payment records
General Amount
$4,438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $534 |
| Janssen Pharmaceuticals, Inc | $528 |
| Teva Pharmaceuticals USA, Inc. | $239 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $235 |
| Lundbeck LLC | $184 |
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: 2023-08-16
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 |
|---|---|---|---|---|
| I20230816000662 | I | Physician Assistant | TX | 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 79705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX |
Reviews
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