Penny Blake, APRN
NPI 1215489935 · Family Nurse Practitioner · Henderson, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penny Blake, APRN is a Family Nurse Practitioner provider in Henderson, TX (NPI 1215489935).
Provider details
- NPI number
- 1215489935
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- AP132551 (TX)
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 1107 E Marshall AveLongview, TX 75601-5602Phone: (903) 758-2610Fax: (903) 758-7081
- 703 E Marshall Ave Ste 4008Longview, TX 75601-5622Phone: (903) 315-2729
Registry dates
- Enumerated
- 2016-10-28
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Frequently asked questions
- What is Penny Blake's NPI number?
- Penny Blake's National Provider Identifier (NPI) is 1215489935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Penny Blake's specialty?
- Penny Blake is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Penny Blake located?
- Penny Blake's practice location on file with NPPES is 1600 US Highway 79 S, Henderson, TX 75654-4508.
- What is Penny Blake's phone number?
- The practice phone number listed in the NPPES registry for Penny Blake is (903) 717-3260.
- Does Penny Blake accept Medicare?
- Penny Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Penny Blake's NPI active?
- Yes — Penny Blake's NPI (1215489935) is active in the NPPES registry as of the last update on 2024-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.