SANDRA BLANDON NP
NPI 1013905132
Nurse Practitioner in Staten Island, NY

Q: What is Sandra Blandon's NPI number?

The NPI number for Sandra Blandon is 1013905132. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Sandra Blandon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Blandon was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment

235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302(718) 876-1732(718) 876-3459 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sandra Blandon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA BLANDON NP (NPI 1013905132) is an individual nurse practitioner in Staten Island, New York, licensed in New York (334411) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013905132

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA BLANDONCredential: NP

Location Address235 PORT RICHMOND AVEStaten Island, NY 10302-1701

Mailing Address235 Port Richmond Ave, Suite 201Staten Island, NY 10302-1701 · (718) 876-1732

Phone(718) 876-1732

Fax(718) 876-3459

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 12, 2005

Last NPPES UpdateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1013905132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 334411

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

235 PORT RICHMOND AVE, Staten Island, NY 10302

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Other Identifiers 1

Medicaid025685606NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Blandon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002884160

PECOS Enrollment IDI20040917000350

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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