Individual provider Active NPI

Allison Claire Blake, PA-C

  • Physician Assistant
  • Jamestown, NY
National Provider Identifier
1295213684
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022369 Issued in NY
Practice address
1465 Foote Avenue Ext
Jamestown, NY 14701-9383
Phone
(716) 526-4041
NPI assigned
Jul 30, 2018
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022369 NY Primary
Physician Assistant 363A00000X MA059987 PA

Addresses

Primary practice location

1465 Foote Avenue Ext
Jamestown, NY 14701-9383

Mailing address

1465 Foote Avenue Ext
Jamestown, NY 14701-9383
Phone (716) 969-5740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ablake515349@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181126001509 NY Practitioner - Physician Assistant 9436403763 Reassigns benefits to 2 organizations
I20190117001562 PA Practitioner - Physician Assistant 9436403763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamestown Psychiatric PCGroup PAC ID 0244314631, 15 clinicians
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

1465 Foote Ave Ext
Jamestown, NY 14701-9383
Phone (716) 526-4041

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
022369NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Psychiatric PC CurrentSince Sep 29, 2024 Accepting new patients
Warren General Hospital CurrentSince Jan 6, 2026 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Sep 18, 2018 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Sep 18, 2018 Accepting new patients
Jamestown Psychiatric PC CurrentSince Oct 18, 2025 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

51 Glasgow Ave
Jamestown, NY 14701
Phone (716) 487-0141

305 E Fairmount Ave
Lakewood, NY 14750
Phone (716) 450-7602

237 Delaware Ave
#14
Olean, NY 14760
Phone (716) 526-4041

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

2 W Crescent Park
#P
Warren, PA 16365
Phone (814) 723-3300

2 W Crescent Park
Ofc
Warren, PA 16365

Interoperability endpoints

  • Direct secure messaging: ablake515349@upmc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1295213684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019383",
            "telephone_number": "716-969-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019383",
            "telephone_number": "716-526-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ALLISON",
        "middle_name": "CLAIRE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-12-05",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022369",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ablake515349@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.