BLAKE GRAYSON JOECKEL MMS PA-C NPI 1760946180

NPI Information

  • NPI: 1760946180
  • Provider Name: BLAKE GRAYSON JOECKEL, MMS, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 116 COUNTRY CLUB DR
    FAYETTEVILLE, NC
    ZIP 28301
  • Phone: (910) 488-0157

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NPI Details

Blake Grayson Joeckel, MMS, PA-C is a physician assistant in Fayetteville, NC with 8 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Blake Grayson Joeckel, MMS, PA-C NPI is 1760946180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

116 COUNTRY CLUB DR
FAYETTEVILLE, NC
ZIP 28301-604
Phone: (910) 488-0157

The NPI 1760946180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 1/30/2019 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0010-08813NORTH CAROLINANo
2363A00000XPhysician Assistant0010-08813NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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