Individual provider Active NPI

Blake Elliott Ramsey, PMHNP-BC

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1982259784
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006947 Issued in FL
Practice address
5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Phone
(817) 308-8047
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X AP142483 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142483 TX
Nurse Practitioner 363L00000X APRN11006947 FL Primary

Addresses

Primary practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8046

Mailing address

301 Skyline Dr
Ste 4
Lady Lake, FL 32159-4588
Phone (352) 451-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20211020002450 MN Practitioner - Nurse Practitioner 3375872534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Mental Health Center, Inc.Group PAC ID 7315856119, 22 clinicians

Practice addresses (Care Compare)

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

Hospital & facility affiliations

  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Merit-based Incentive Payment System (MIPS)

Final score
70.99 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
33.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142483TXMDGeriatric Psychiatry Physician
APRN11006947FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mental Health Center, Inc. CurrentSince Jul 16, 2021 Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1982259784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SKYLINE DR",
            "address_2": "STE 4",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594588",
            "telephone_number": "352-451-1521",
            "fax_number": "352-431-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078046",
            "telephone_number": "817-308-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "BLAKE",
        "middle_name": "ELLIOTT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "AP142483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142483",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.