Blake Coffman
NPI 1578262192 · Nurse Practitioner · Jackson, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Coffman is a Nurse Practitioner provider in Jackson, TN (NPI 1578262192).
Provider details
- NPI number
- 1578262192
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0024195588 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 2545 N Washington AveBrownsville, TN 38012-1687Phone: (731) 307-3777
- 5001 E Main StErin, TN 37061-4115Phone: (931) 289-4158
- 200 W Church StLexington, TN 38351-2038Phone: (731) 968-3646
- 18688 Jeb Stuart HwyStuart, VA 24171-1559Phone: (276) 692-9020
Registry dates
- Enumerated
- 2023-03-02
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Blake Coffman's NPI number?
- Blake Coffman's National Provider Identifier (NPI) is 1578262192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Coffman's specialty?
- Blake Coffman is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blake Coffman located?
- Blake Coffman's practice location on file with NPPES is 64 Palmer Dr, Jackson, TN 38305-8029.
- What is Blake Coffman's phone number?
- The practice phone number listed in the NPPES registry for Blake Coffman is (731) 614-0728.
- Does Blake Coffman accept Medicare?
- Blake Coffman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Coffman's NPI active?
- Yes — Blake Coffman's NPI (1578262192) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.