Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295030195 Individual Practitioner Female Practitioner

Kimberly Thornton Blake , PA

Physician Assistant • Sanford, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Blake, PA is a registered healthcare professional specializing in Physician Assistant in Sanford, FL. Practice services are available at 1401 W SEMINOLE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 W Seminole Blvd

Sanford, FL 327716743

Telephone 8008939698
Associated Practice Facility / Clinic
🏢 Seminole Emergency Group Llc Facility NPI 1346227980

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sanford, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Sanford, FL (10376 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
18 18 $678.00 $109.08
99285 Emergency department visit for life threatening or functioning severity
14 14 $984.00 $157.97

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105774

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Watson , MD

Emergency Medicine

NPI 1003834193

Doctor of Medicine (M.D.)

NPI 1033176185

Doctor of Medicine (M.D.)

Dr. Dave Daigle , MD

Emergency Medicine

NPI 1033382973

Doctor of Medicine (M.D.)

Dr. Michael Strayer , MD

Emergency Medicine

NPI 1043424021

Doctor of Medicine (M.D.)

Javier Rodriguez , PA

Physician Assistant

NPI 1043455348

Physician Assistant

Bonnie Smith , FNP

Nurse Practitioner - Family

NPI 1053385401

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2011

Registered at 1401 W SEMINOLE BLVD, SANFORD, FL 327716743 (Tel: 8008939698)

📍
Updated Business Mailing Address January 24, 2011

Registered at 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 705083870 (Tel: 8008939698)

👤
Provider Name / Credentials Updated January 24, 2011

Recorded as KIMBERLY BLAKE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Physician Assistant (License #PA9105774 in FL)

🟢
Initial NPI Registration & Enumeration January 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295030195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2011
Last Update: January 24, 2011
Sole Proprietor: No

Mailing Address

200 Corporate Blvd, Suite 201

Lafayette, LA 705083870

Phone: 8008939698

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.