MR. STEFAN HUGO BLANCO APRN
NPI 1104393453
Nurse Practitioner - Family in Hialeah, FL

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment
2001 W 68TH ST, HIALEAH, FL 33016(305) 364-2104 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2018, Oct 25, 2018 (2 updates tracked since 2018).

About Mr. Stefan Hugo Blanco Aprn NPPES

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

MR. STEFAN HUGO BLANCO APRN (NPI 1104393453) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11000226) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104393453
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. STEFAN HUGO BLANCOCredential: APRN
Location Address2001 W 68TH STHialeah, FL 33016-1801
Mailing Address1754 W 75th StHialeah, FL 33014-3737 · (786) 447-3359
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 25, 2018
Last NPPES UpdateNovember 21, 20182 updates tracked since enumeration
✔ NPI 1104393453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11000226
2001 W 68TH ST, Hialeah, FL 33016

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Stefan Hugo Blanco Aprn 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 ID2466860978
PECOS Enrollment IDI20210422001502
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 Reassignments

2

Medicare enrollment records show Stefan Blanco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
7150 W 20TH AVE STE 615
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
Pulmonary Disease
8260 W FLAGLER ST STE 2I
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 16 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 33016 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Psychiatric Hospital
2001 W 68TH ST
HIALEAH, FL 33016
Nurse Practitioner (Family)
2001 W 68TH ST
HIALEAH, FL 33016
Internal Medicine (Critical Care Medicine)
2001 W 68TH ST
HIALEAH, FL 33016
Nurse Anesthetist, Certified Registered
2001 W 68TH ST
HIALEAH, FL 33016
Nurse Practitioner
2001 W 68TH ST
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST
HIALEAH, FL 33016
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST
HIALEAH, FL 33016
Radiology (Diagnostic Radiology)
2001 W 68TH ST
HIALEAH, FL 33016

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 Stefan Blanco's NPI number?

The NPI number for Stefan Blanco is 1104393453. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Stefan Blanco located?

Stefan Blanco practices at 2001 W 68th St, Hialeah, FL 33016. The listed phone number is (305) 364-2104.

What is Stefan Blanco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stefan Blanco enrolled in Medicare?

Yes. Stefan Blanco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stefan Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Blanco reassigns Medicare benefits to 2 organizations: Hsa Florida Physician Group Inc (Hialeah, FL) and Nova Medical Services - Pulmonary & Critical Care Division LLC (Miami, FL). Each 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 Stefan Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefan Blanco accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Stefan Blanco 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 Stefan Blanco was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.