Shannon Blake, PA
Physician Assistant · West Hartford, CT
Shannon Blake, PA is a physician assistant with a practice address in West Hartford, Connecticut, and NPI 1578509238, issued on Jun 21, 2006. Check the license (Connecticut 001550, as entered in NPPES) with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Blake
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 001550 CT
Self-reported in NPPES; status is on the state search - Practice location
- 631 Quaker LN S, West Hartford, CT 06110
- Phone
- (860) 233-5133
- Enumerated
- Jun 21, 2006
- Record last updated
- Jul 28, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (860) 232-6527
- Medicare enrollment
- Enrolled (PECOS I20190624003539); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,047 in Connecticut → Look up another NPI →
Also registered at 631 Quaker LN S
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Cheryl Laflamme, APRNNurse Practitioner1760495881
- Kristin Meyer, APRNAdult Health Nurse Practitioner1124130059
- Marybeth Moore, PA-C, MPHMedical Physician Assistant1033389192
Verify Shannon Blake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
Search for license 001550Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% fewer Medicare Part D claims than the average physician assistant in 2024
805 Medicare Part D claims for 118 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Sertraline Hcl194 claims
- Divalproex Sodium103 claims
- Quetiapine Fumarate100 claims
- Lorazepam65 claims
- Mirtazapine57 claims
- Escitalopram Oxalate48 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Lifesource OF North CarolinaWilmington, NC
- Lifesource Prime IncWilmington, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Blake among 2,047 physician assistant records in Connecticut
Shannon Blake, PA is one of 2,047 physician assistant records with a practice address in Connecticut. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 82% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2006 · median 2018 among the 1,338 with a school on file
- Record last updated2011 · 42% 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 Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
29 physician assistant records list a practice address in West Hartford
They are 29 of the 1,653 NPPES records with a practice address in West Hartford, and 2,047 physician assistant records in Connecticut.
All 2,047 in Connecticut → Every provider in West Hartford → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Rachel Glantz, PA-CWest Hartford, CT 061101508263617
- Kelly Maloney, PAWest Hartford, CT 061101508481755
- Lydia MolnarWest Hartford, CT 061101235965104
- Caitlin Cole, PA-CWethersfield, CT 061091669082145
- Maryam IftikharWethersfield, CT 061091215490891
- Ayana Jacob, PA-CNewington, CT 061111679467484
- Diane Keckley, PAWethersfield, CT 061091386621829
- Timothy Lassiter, PA-CNewington, CT 061111235509050
Common questions
What is Shannon Blake, PA's NPI number?
Shannon Blake, PA's National Provider Identifier (NPI) is 1578509238, issued on Jun 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Blake, PA located?
The NPPES record lists a practice address at 631 Quaker LN S, West Hartford, CT, 06110. Phone: (860) 233-5133. Providers update this record themselves, so call before visiting.
How can I verify Shannon Blake, PA's license?
NPPES lists Connecticut license number 001550, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
How much does Shannon Blake, PA prescribe under Medicare Part D?
In 2024, Shannon Blake, PA had 805 Medicare Part D claims for 118 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions 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.