Donna Marie Blake, N.P.-C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71004740A Issued in IN

Practice address

8902 N Meridian St
Suite 230
Indianapolis, IN 46260-5382

Phone

(317) 581-8888

Fax

(317) 705-7179

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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.

• Cinqcare at Home PC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1235736067

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Care Medical Practice PLLC

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1811658883

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244

  IN

  Medicare reassignment NPD
• Grace Divine, LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1548596372

  IN

  Medicare reassignment
• Community Physicians of Indiana Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD
• Cornerstone Family Physicians, P. C.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1770565830
  NPD (past)

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

• Indiana University Health Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024

  Hospital

  Care Compare affiliation
• Witham Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, IN
  • NPI 1699757401

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Indiana Medical College, School of Medicine of Purdue University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cinqcare at Home PC 31 clinicians

Care Medical Practice PLLC 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health Hospital, Indianapolis, IN, CCN 150056
• Witham Health Services Hospital, Lebanon, IN, CCN 150104

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dblake224445@ecommunitydirect.com
• Direct secure messaging: donna.blake.1@32399.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821429481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-581-8888",
            "fax_number": "317-705-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-581-8888",
            "fax_number": "317-705-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblake224445@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "8902 N Meridian St",
            "address_2": "SUITE 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Blair, NCSP
• Kirsten Blair
• Mateo Blair
• Nicole Blair
• Austin Blais, MD
• Ethan Jeffrey Blake, MD
• Hillary S Blake, PSYD
• Kara Mikayla Blake, RPH
• Melinda K Blake, NP
• Rhonda J. Blake, OD

• All providers in Indianapolis, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.