ERIK J BLANK
NPI 1093342412
Social Worker - Clinical in Fort Collins, CO

Active since March 25, 2020PECOS Enrolled
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Aug 11, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Erik J Blank NPPES

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

ERIK J BLANK (NPI 1093342412) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (SWC.0000001468) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093342412
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameERIK J BLANK
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Fax(844) 270-1824
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1093342412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · SWC.0000001468
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0002422 (CO)
Also ListedDriverTaxonomy 172A00000X
4856 INNOVATION DR, Fort Collins, CO 80525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erik J Blank 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.

Medicare Billing Reassignment

Medicare enrollment records show Erik Blank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4856 INNOVATION DR
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 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
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 20

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

Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erik Blank's NPI number?

The NPI number for Erik Blank is 1093342412. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Erik Blank located?

Erik Blank practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Erik Blank's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Erik Blank enrolled in Medicare?

Yes. Erik Blank is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erik Blank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Blank reassigns Medicare benefits to Summitstone Health Partners (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Blank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Blank accept?

Health plans from Select Health list Erik Blank as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erik Blank was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.