Blake Allen Neeley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4218 Gateway Dr Ste 100
Colleyville, TX 76034-7900

Phone

(817) 283-1860

Fax

(817) 283-2175

NPI assigned

Mar 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Merit-based Incentive Payment System (MIPS)

Final score

84.29 of 100Reported as group

Quality

91.85

Promoting interoperability

77

Improvement activities

40

Cost

74.94

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Texas Center for Urology LLP

  • Urology Physician
  • Fort Worth, TX
  • NPI 1366710196
  Medicare reassignment
• North Central Urology PA

  • Urology Physician
  • Colleyville, TX
  • NPI 1174703623
  NPD
• Urology Partners of North Texas, PLLC

  • Urology Physician
  • San Antonio, TX
  • NPI 1619827912
  NPD (past)

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1346780798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 AUTUMN MIST WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054530",
            "telephone_number": "281-733-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 GATEWAY DR STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347900",
            "telephone_number": "817-283-1860",
            "fax_number": "817-283-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "BLAKE",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandrasekharan K Nair, M.D.
• Andrea Najera
• National in-Hospital Physicians Associates PLLC
• John P Naus, MD
• NCG Surgical Services
• Angela Negron, NP
• Alisa Nembhard
• Sanika Neurgaonkar
• Neuro Tech, Inc.
• Judith Newgren, LCSW

• Physician Assistant in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.