JESSICA BLANCO
NPI 1083435549
Physician Assistant in Port Charlotte, FL

Q: What is Jessica Blanco's NPI number?

The NPI number for Jessica Blanco is 1083435549. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Q: What is Jessica Blanco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Blanco was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 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: August 09, 2026.

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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, is affiliated with Hca Florida Fawcett Hospital, and maintains a secondary practice location in Hialeah.

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

Phone(941) 764-5858

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

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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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

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 14

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

DR. FREDERICK RODRIGO YTURRALDE M.D.

Internal Medicine (Interventional Cardiology)