Kate Blake, NP - Medicare Nurse Practitioner in Salt Lake City, UT

Kate Blake, NP is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. She went to University Of Utah School Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth and her current practice location is 1950 Circle Of Hope Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-7000.

Kate Blake is licensed to practice in Washington (license number AP70010852) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073391025.

Contact Information

Kate Blake, NP
1950 Circle Of Hope Dr,
Salt Lake City, UT 84112-5500
(801) 587-7000
Not Available

Map and Direction




Provider's Profile

Full NameKate Blake
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location1950 Circle Of Hope Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kate Blake attended and graduated from University Of Utah School Of Medicine in 2025
  NPI Data:
  • NPI Number: 1073391025
  • Provider Enumeration Date: 09/20/2023
  • Last Update Date: 11/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305341355
  • Enrollment ID: I20250923000313

Medical Identifiers

Medical identifiers for Kate Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073391025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11782414-3102 (Washington)Secondary
363L00000XNurse Practitioner AP70010852 (Washington)Primary
163WX0200XRegistered Nurse - Oncology 11782414-3102 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peacehealth St Joseph Medical CenterBellingham, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth9537073960292

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kate Blake allows following entities to bill medicare on her behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309553
PECOS PAC ID: 9537073960
Enrollment ID: O20031118001062
Entity NamePeacehealth
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1487917233
PECOS PAC ID: 9335391044
Enrollment ID: O20121204000225
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508129842
PECOS PAC ID: 9335391044
Enrollment ID: O20130122000273
Entity NamePeacehealth
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1144664954
PECOS PAC ID: 6103056288
Enrollment ID: O20140312000236
Entity NamePeacehealth Medical Group - Sedro Woolley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407283179
PECOS PAC ID: 1456584036
Enrollment ID: O20140506001293
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548698806
PECOS PAC ID: 6103056288
Enrollment ID: O20140507000955

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kate Blake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kate Blake, NP
1950 Circle Of Hope Dr,
Salt Lake City, UT 84112-5500

Ph: Not Available
Kate Blake, NP
1950 Circle Of Hope Dr,
Salt Lake City, UT 84112-5500

Ph: (801) 587-7000

Reviews and Comments


Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113
Phone: 801-662-2993    Fax: 801-662-2999
Madeline Ann Thayer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-3600    
Ms. Eliza Dansie Parkin, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2218 S Dallin St, Salt Lake City, UT 84109
Phone: 801-673-7088    
Crystal Marshall, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4460 S Highland Dr, Salt Lake City, UT 84124
Phone: 888-949-4864    
Emma Fong, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3802 S 700 E, Salt Lake City, UT 84106
Phone: 801-264-6000    
Ashlee Brynn Fenton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124
Phone: 801-268-7766    
Ms. Sharon A Korhel, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1105 W 1000 N, Salt Lake City, UT 84116
Phone: 801-408-8626    Fax: 801-364-2436

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.