Mary Blake, ANP-C
NPI 1164780177 · Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Blake, ANP-C is a Psychiatric/Mental Health Nurse Practitioner provider in Charlotte, NC (NPI 1164780177).
Provider details
- NPI number
- 1164780177
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5005601 (NC)
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
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2012-04-26
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Frequently asked questions
- What is Mary Blake's NPI number?
- Mary Blake's National Provider Identifier (NPI) is 1164780177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Blake's specialty?
- Mary 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 Mary Blake located?
- Mary Blake's practice location on file with NPPES is 2936 Caldwell Ridge Pkwy, Charlotte, NC 28213-5888.
- What is Mary Blake's phone number?
- The practice phone number listed in the NPPES registry for Mary Blake is (704) 578-8041.
- Does Mary Blake accept Medicare?
- Mary Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Blake's NPI active?
- Yes — Mary Blake's NPI (1164780177) is active in the NPPES registry as of the last update on 2025-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.