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

Dr. Marissa Blake

Individual provider Certified Registered Nurse Anesthetist · NPI 1275103343

Dr. Marissa Blake is a Certified Registered Nurse Anesthetist (CRNA) in Middletown, Connecticut. Qualified in 2021, 5 years ago. Practices with Anesthesiologists of Middletown, PC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

28 Crescent St
Middletown, CT 06457-3654
Phone: (860) 358-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Corporate Dr 9th Fl Ste 955, Shelton, CT 06484-6274 — (203) 929-7353

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9811 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275103343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESFebruary 27, 2022
Certification dateFebruary 27, 2022
Mailing address128 Bassett Rd, North Haven, CT 06473-1903

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Anesthesiologists Of Middletown, P.C. — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Middletown