JESSICA BLANCO
NPI 1083435549
Physician Assistant in Port Charlotte, FL

Active since October 17, 2024PECOS EnrolledAccepts Medicare Assignment
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 764-5858(941) 764-1657 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Blanco NPPES

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

JESSICA BLANCO (NPI 1083435549) is an individual physician assistant in Port Charlotte, Florida, licensed in Florida (9119370) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hialeah, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083435549
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA BLANCO
Location Address3340 TAMIAMI TRLPort Charlotte, FL 33952-8088
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Fax(941) 764-1657
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 17, 2024
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
NPI 1083435549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · 9119370
Definition

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.

3340 TAMIAMI TRL, Port Charlotte, FL 33952

Secondary Practice Location 1

Location 1115 W 15th StHialeah, FL 33010-3432 · Phone (786) 343-1495

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

Jessica Blanco 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 ID5092241299
PECOS Enrollment IDI20241211003160
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 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Pharmacist
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Internal Medicine (Interventional Cardiology)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Family)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Internal Medicine (Interventional Cardiology)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Specialist
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Family)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Internal Medicine (Cardiovascular Disease)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Internal Medicine (Interventional Cardiology)
3340 TAMIAMI TRL
PORT CHARLOTTE, FL 33952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083435549, enumerated as an "individual" on October 17, 2024.

The provider is located at 3340 TAMIAMI TRL PORT CHARLOTTE, FL 33952 and the phone number is (941) 764-5858.

Physician Assistant with taxonomy code 363A00000X.