JESSICA MARIAN BLANCO PA-C
NPI 1043704802
Physician Assistant - Medical in Pontiac, MI

Q: What is Jessica Blanco's NPI number?

The NPI number for Jessica Blanco is 1043704802. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Q: What is Jessica Blanco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Blanco was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2018PECOS Enrolled

44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2021, Jun 15, 2018 (2 updates tracked since 2018).

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About Jessica Marian Blanco Pa-c NPPES

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

JESSICA MARIAN BLANCO PA-C (NPI 1043704802) is an individual medical provider in Pontiac, Michigan, licensed in Michigan (5601010756) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Novi.

NPPES Registry Identity

NPI1043704802

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA MARIAN BLANCOCredential: PA-C

Location Address44405 WOODWARD AVEPontiac, MI 48341-5023

Mailing Address651 Darwin StWestland, MI 48186-9204 · (734) 864-6003

Phone(248) 858-3000

Sole ProprietorNo

Enumeration DateJune 15, 2018

Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1043704802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601010756

Also ListedBehavior TechnicianTaxonomy 106S00000X

44405 WOODWARD AVE, Pontiac, MI 48341

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Secondary Practice Location 1

Location 141521 W 11 Mile RdNovi, MI 48375-1803 · Phone (248) 299-0030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marian Blanco Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

16 services16 patients

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Other Providers at the Same Location NPPES 20

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

DR. KRASSIMIR LALEV DENCHEV M.D.

Anesthesiology