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Active NPI 1265900450 Individual Practitioner Female Practitioner

Danielle Rebecca Blake

Nurse Practitioner • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Danielle Blake is a certified Nurse Practitioner practicing in Fenton, MO. With approximately 9 years of clinical experience since completing medical education in 2017, Danielle Blake delivers high-quality medical care to the local community at 1055 BOWLES AVE STE 200.

Danielle Blake is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 Bowles Ave Ste 200

Fenton, MO 630262308

Telephone 6364963900
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fenton, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +0.3 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Fenton, MO (1750 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (9 Years) 9 Yrs
Fenton Specialty Average (8.7 Years) 8.7 Yrs

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
99221 Initial hospital inpatient care per day, typically 30 minutes
11 11 $225.00 $67.41

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2018011508

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MO 2013025839

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

1055 Bowles Ave, Fenton, MO 630262308

Phone: 6364963900

Practice Associates & Co-Workers

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

8 Associated Practitioners
Laura Howard

Nurse Practitioner - Family

NPI 1023498334
Dr. Bassam Malo , MD

Psychiatry & Neurology - Neurology

NPI 1205148293

Doctor of Medicine (M.D.)

Valerie Rasche , PA

Physician Assistant

NPI 1205392776

Physician Assistant

Dr. Charles Wetherington , MD

Neurological Surgery

NPI 1326048935

Doctor of Medicine (M.D.)

Connie Pickering , ANP

Nurse Practitioner - Adult Health

NPI 1487812632

Adult Nurse Practitioner

Carley Roth

Nurse Practitioner

NPI 1639034424

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated December 18, 2024

Recorded as DANIELLE BLAKE

📍
Updated Business Mailing Address October 27, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

NPI Profile Active November 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2018

Registered at 1055 BOWLES AVE STE 200, FENTON, MO 630262308 (Tel: 6364963900)

📍
Updated Business Mailing Address November 09, 2018

Registered at 2899 PIN OAK DR, IMPERIAL, MO 630521343 (Tel: 3144526172)

👤
Provider Name / Credentials Updated November 09, 2018

Recorded as DANIELLE THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2018

Registered Nurse (License #2013025839 in MO)

🟢
Initial NPI Registration & Enumeration November 06, 2018

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: 1265900450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2018
Last Update: December 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

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.