Active NPI
Blake C Arney, PA-C
- Medical Physician Assistant
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60832012
- Practice address
- 307 S 13TH St Ste 300
Mount Vernon, WA 98274-4100 - Phone
- (360) 542-3938
- Fax
- (360) 814-5237
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60832012 | WA | |
| Medical Physician Assistant | 363AM0700X | PA60832012 | WA | Primary |
Addresses
Primary practice location
307 S 13TH St Ste 300
Mount Vernon, WA 98274-4100
Mailing address
1400 E Kincaid St
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-6485
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | barney23831@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180607000919 | WA | Practitioner - Physician Assistant | 7315202645 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Rush Medical College of Rush University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750
Hospital & facility affiliations
- Skagit Valley Hospital
- Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
307 S 13th St
Ste 300
Mount Vernon, WA 98274
Phone (360) 336-9757
Interoperability endpoints
- barney23831@skagit.direct-ci.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Granite Falls, WA
- NPI 1033164470
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Hospital
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1356845671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"address_2": "ATTN: CREDENTIALING",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-6485",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 13TH ST STE 300",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744100",
"telephone_number": "360-542-3938",
"fax_number": "360-814-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNEY",
"first_name": "BLAKE",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60832012",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60832012",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "barney23831@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "307 S 13th St Ste 300",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.