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

Q: 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.

Q: What is Stefan Blanco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stefan Blanco was last updated on November 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

Phone(305) 364-2104

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

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

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.

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.

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