| Kristie J Blake, APRN-CNM | |
|
920 N Hamilton Rd Ste 200, Gahanna, OH 43230-1757 | |
| (614) 293-3069 | |
| (614) 293-9684 |
| Full Name | Kristie J Blake |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 10 Years |
| Location | 920 N Hamilton Rd Ste 200, Gahanna, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871030262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.024341 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.019312 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohio State University Hospitals | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osu Gyn And Ob Consultants Llc | 5092613257 | 72 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | OSU Gyn & Ob Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073552493 PECOS PAC ID: 5092613257 Enrollment ID: O20031224000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie J Blake, APRN-CNM 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-3069 | Kristie J Blake, APRN-CNM 920 N Hamilton Rd Ste 200, Gahanna, OH 43230-1757 Ph: (614) 293-3069 |
Ms. Cassandra Anne Sampsell, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 920 N Hamilton Rd Ste 200, Gahanna, OH 43230 Phone: 614-293-3069 Fax: 614-293-9684 |
Mrs. Taylor Krinock, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1375 Cherry Way Dr Ste 100, Gahanna, OH 43230 Phone: 614-759-6200 |
Ms. Patricia L Dodge, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 N. Hamilton Rd, Suite 200, Gahanna, OH 43230 Phone: 614-366-3075 Fax: 614-366-0894 |
Morgan Justice Fox, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4998 Cherrybluff Ct, Gahanna, OH 43230 Phone: 815-739-8728 |