Blake Hanlin, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

36046 Issued in TN

Practice address

3621 Sweethome Rd
Ashland City, TN 37015-2511

Phone

(397) 572-4719

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

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 TN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Havely Springs Emergency Group, PCGroup PAC ID 6204298144, 13 clinicians

Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Medicine Services of TN, PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1720785884
  Medicare reassignment Care Compare group NPD
• Havely Springs Emergency Group, PC

  • Emergency Medicine Physician
  • Springfield, TN
  • NPI 1770090110

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of TN, LLC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1982301065
  Medicare reassignment NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1639922040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SWEETHOME RD",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370152511",
            "telephone_number": "397-572-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 SWEETHOME RD",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370152511",
            "telephone_number": "397-572-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLIN",
        "first_name": "BLAKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "36046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry A Gilpin, DMD
• Milton Leon Gordon, M.A.
• Janessa Grim
• Alison Guy
• Debbie Habelt, ATC
• Kelsie Hannah, FNP-BC
• Vicky Marie Hausler, MSW
• HCA Health Services of Tennessee, Inc. (Tristar Ashland City Medical Center)
• HCA Health Services of Tennessee, Inc. (Tristar Ashland City Medical Center)
• HCA Health Services of Tennessee, Inc. (Tristar Ashland City Medical Center)

• Nurse Practitioner in Ashland City, TN
• Providers in Ashland City, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.