Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake William Boelens, PA-C

Individual provider Physician Assistant · NPI 1407401607

Blake William Boelens, PA-C is a Physician Assistant in Frisco, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2020, 6 years ago. Practices with Nazimuddin Mohammed MD PA, a 34-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone: (469) 200-4093
Fax: (469) 200-4079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 281 W Southlake Blvd, Southlake, TX 76092-7052 — (817) 704-1431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14195 (TX)

Record details

NPI number1407401607
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address11500 State Highway 121 Ste 930, Frisco, TX 75035-9347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Nazimuddin Mohammed Md Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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