William Blake, PMHNP-BC
NPI 1093683385 · Psychiatric/Mental Health Nurse Practitioner · Bardstown, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William Blake, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Bardstown, KY (NPI 1093683385).
Provider details
- NPI number
- 1093683385
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4047867 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2020 Newburg RdLouisville, KY 40205-1803Phone: (502) 451-3330
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Frequently asked questions
- What is William Blake's NPI number?
- William Blake's National Provider Identifier (NPI) is 1093683385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Blake's specialty?
- William Blake is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is William Blake located?
- William Blake's practice location on file with NPPES is 110 E Obryan Ave, Bardstown, KY 40004-1636.
- What is William Blake's phone number?
- The practice phone number listed in the NPPES registry for William Blake is (502) 890-9232.
- Does William Blake accept Medicare?
- William Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is William Blake's NPI active?
- Yes — William Blake's NPI (1093683385) is active in the NPPES registry as of the last update on 2026-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.