Penny Blake, APRN
NPI 1215489935ActiveIndividual· Nurse Practitioner, Family· Henderson, TX
Nurse Practitioner, Family (APRN) with Christus Trinity Clinic Texas and 1 other group, practicing in Henderson, Texas. Medicare paid $1,635 for services to 20 patients in 2024. Lists Christus Good Shepherd Medical Center as a hospital affiliation.
Overview
| NPI | 1215489935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 28, 2016 |
| Last updated in NPPES | Aug 7, 2024 |
| Certified by provider | Aug 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP132551 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 20 across 4 procedure codes |
| Paid by Medicare | $1,635 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
- Total Point - Desoto LLCDallas, TX · 27 clinicians
Hospital affiliation
- Christus Good Shepherd Medical CenterLongview, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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