Traci Blake, PA
NPI 1922519271ActiveIndividual· Physician Assistant· Englewood, NJ
Physician Assistant (PA) in Englewood, New Jersey, trained at Mercy College (class of 2017). 290 Medicare patients in 2024, $63,076 paid; nearly all of their 549 Part D prescriptions were generic (96%). Medical Device Business Services, Inc. was the largest of 8 companies reporting payments in 2024, $270.42 in all, mostly food and beverage.
Overview
| NPI | 1922519271 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 13, 2017 |
| Last updated in NPPES | Jul 18, 2022 |
| Certified by provider | Jul 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00449500 | NJ |
| Physician Assistant | 363A00000X | 021388 | NY |
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 - Physician Assistant (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 5,015 across 54 procedure codes |
| Paid by Medicare | $63,076 |
Part D prescriptions in 2024
| Prescriptions (claims) | 549 · 577 30-day fills |
|---|---|
| Patients | 309 |
| Total drug cost | $8,810 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Mercy College |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Physician Assistant |
Medical group
- Physician Partners of Englewood PCEnglewood, NJ · 94 clinicians
Hospital affiliation
- Englewood Hospital and Medical CenterEnglewood, NJ
Other facilities
- Kessler Rehab CenterInpatient rehabilitation facility · West Orange, NJ
Industry payments (Open Payments)
- 2024$270.42 · 9 payments from 8 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medical Device Business Services, Inc. | $97.18 | 2 |
| Medtronic, Inc. | $41.04 | 1 |
| Stryker Corporation | $38.00 | 1 |
| Guard Medical Inc. | $28.19 | 1 |
| Alexion Pharmaceuticals, Inc. | $18.27 | 1 |
What the 2024 payments were for
- Food and Beverage$270.42 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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