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

Penny Blake, APRN

Individual provider Family Nurse Practitioner · NPI 1215489935

Penny Blake, APRN is a Nurse Practitioner in Henderson, Texas. Qualified in 2016, 10 years ago. Practices with Total Point - Desoto LLC, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1600 US Highway 79 S
Henderson, TX 75654-4508
Phone: (903) 717-3260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1107 E Marshall Ave, Longview, TX 75601-5602 — (903) 758-2610
  • 703 E Marshall Ave Ste 4008, Longview, TX 75601-5622 — (903) 315-2729

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP132551 (TX)

Record details

NPI number1215489935
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 28, 2016
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing addressPo Box 1022, Waynesboro, TN 38485-1022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Total Point - Desoto Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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