Traci Blake, DNP,ACNPC-AG, CRNFA
NPI 1649543042 · Acute Care Nurse Practitioner · Rockford, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traci Blake, DNP,ACNPC-AG, CRNFA is a Acute Care Nurse Practitioner provider in Rockford, IL (NPI 1649543042).
Provider details
- NPI number
- 1649543042
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP,ACNPC-AG, CRNFA
- Sex
- Female
- Sole proprietor
- No
- License
- 041336983 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service 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
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)
- 1401 E State StRockford, IL 61104-2315Phone: (779) 696-7150
- 1000 Mineral Point AveJanesville, WI 53548-2982Phone: (608) 756-6868Fax: (608) 756-6289
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Frequently asked questions
- What is Traci Blake's NPI number?
- Traci Blake's National Provider Identifier (NPI) is 1649543042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Traci Blake's specialty?
- Traci Blake is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Traci Blake located?
- Traci Blake's practice location on file with NPPES is 8201 E Riverside Blvd, Rockford, IL 61114-2300.
- What is Traci Blake's phone number?
- The practice phone number listed in the NPPES registry for Traci Blake is (815) 971-7000.
- Does Traci Blake accept Medicare?
- Traci Blake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Traci Blake's NPI active?
- Yes — Traci Blake's NPI (1649543042) is active in the NPPES registry as of the last update on 2025-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.