Blake Anderson, BS, MS, CAA
NPI 1114615390ActiveIndividual· Anesthesiologist Assistant· Melbourne, FL
Anesthesiologist Assistant (BS, MS, CAA) with Brevard Physician Associates PLLC, practicing in Melbourne, Florida. Medicare paid $16,988 for services to 161 patients in 2024. Lists Holmes Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1114615390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BS, MS, CAA |
| Sole proprietor | No |
| NPI issued | Apr 26, 2023 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 173 across 48 procedure codes |
| Paid by Medicare | $16,988 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Brevard Physician Associates PLLCMelbourne, FL · 216 clinicians
Hospital affiliations
- Holmes Regional Medical CenterMelbourne, FL
- Palm Bay HospitalPalm Bay, FL
- Viera HospitalMelbourne, FL
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