NPPES file of Aug 9, 2026

Blake Childress, PA-C

Physician Assistant · Chicago, IL

Blake Childress, PA-C is a physician assistant with a practice address in Chicago, Illinois, and NPI 1750178190, issued on Apr 21, 2025. Check the license (Illinois 085.011277, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1750178190
Name
Blake Childress
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
085.011277 IL
Self-reported in NPPES; status is on the state search
Practice location
6140 N Broadway St, Chicago, IL 60660
Phone
(773) 564-9206
Enumerated
Apr 21, 2025
Record last updated
Jun 12, 2025
Medicare enrollment
Enrolled (PECOS I20250708000395); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 6140 N Broadway St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelly DietrickPhysician Assistant1265393003
  2. Mekenna Frederick, PA-CPhysician Assistant1316744642

Verify Blake Childress in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 085.011277
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Physicians Immediate Care North Chicago LLCChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Blake Childress among 4,926 physician assistant records in Illinois

Blake Childress, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.

  • NPI issued2025 · 90% of these records are older, 3% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2024 · median 2019 among the 3,407 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,445 physician assistant records list a practice address in Chicago

They are 1,445 of the 63,379 NPPES records with a practice address in Chicago, and 4,926 physician assistant records in Illinois.

The 8 physician assistant records with the nearest ZIP codes

  1. Masha ChizhikChicago, IL 606601841614666
  2. Kelly DietrickChicago, IL 606601265393003
  3. Jamie Ellingwood, PAChicago, IL 606601952544488
  4. Mekenna Frederick, PA-CChicago, IL 606601316744642
  5. Stephanie Laser, M.M.S,, PA-CChicago, IL 606601194155283
  6. Rose Ali, PA-CChicago, IL 606611003085796
  7. Michelle Arnesen, PA-CChicago, IL 606611396913885
  8. Leah Brown, PA-C, MMSChicago, IL 606611780814525

Common questions

What is Blake Childress, PA-C's NPI number?

Blake Childress, PA-C's National Provider Identifier (NPI) is 1750178190, issued on Apr 21, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Blake Childress, PA-C located?

The NPPES record lists a practice address at 6140 N Broadway St, Chicago, IL, 60660. Phone: (773) 564-9206. Providers update this record themselves, so call before visiting.

How can I verify Blake Childress, PA-C's license?

NPPES lists Illinois license number 085.011277, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.