Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tanner Jameson Blake

Individual provider Physician Assistant · NPI 1811578214

Tanner Jameson Blake is a Physician Assistant in Henrico, Virginia. Qualified in 2023, 3 years ago. Practices with Potomac Valley Hospital of W VA , Inc, a 89-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2021
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Practice location Address checks out

3501 Cedar Bay Ct Apt 738
Henrico, VA 23233-0203
Phone: (435) 218-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1811578214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESApril 16, 2021
Certification dateFebruary 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Potomac Valley Hospital Of W Va , Inc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients85
Services billed 128 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Potomac Valley Hospital of W VA , Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 89 clinicians in the practice; 12 are shown here.

Other providers in Henrico