Individual provider Active NPI

Cheryl Y Blake, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1649214339
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN292877L Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-3326
Fax
(215) 707-8028
NPI assigned
Jun 15, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR09256900 NJ
Certified Registered Nurse Anesthetist 367500000X RN292877L PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 707-3411

Other practice location 1

65 Jimmie Lees Rd
Pomona, NJ 08240
Phone (609) 652-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, SC, NC, DE5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20041006000901 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587623459 Reassigns benefits to 1 organization
I20061129000187 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587623459 Reassigns benefits to 2 organizations
I20120420000690 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587623459 Reassigns benefits to 2 organizations
I20120420000691 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587623459 Reassigns benefits to 20 organizations
I20210330000454 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587623459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR09256900NJMDCertified Registered Nurse Anesthetist
RN292877LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Feb 6, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 6, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Granville Health System CurrentSince Sep 24, 2018 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Feb 6, 2023 Accepting new patients
Piedmont Physician Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Morris Anesthesia Group, PA Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Sep 24, 2018 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2020 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jun 1, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 14, 2025 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Feb 6, 2023 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Mar 25, 2019 Accepting new patients
York County Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2018 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Feb 6, 2023 Accepting new patients
West Jersey Anesthesia Associate PA CurrentSince Aug 1, 2019 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Feb 6, 2023 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2012 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 6, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 14, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2023 Accepting new patients
Associates in Anesthesia Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Associates in Anesthesia, Inc. PastSince Mar 30, 2026 Accepting new patients

Locations (25 of 34)

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

508 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-6902

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 46

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.

View all 46

Hospital & facility affiliations 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1649214339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3326",
            "fax_number": "215-707-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Jimmie Lees Rd",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NJ",
            "postal_code": "08240",
            "country_code": "US",
            "telephone_number": "609-652-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CHERYL",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR09256900",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN292877L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.