MR. BROCK BLANKENSHIP AA-C
NPI 1154679744
Anesthesiologist Assistant in Jacksonville, FL
About Mr. Brock Blankenship Aa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BROCK BLANKENSHIP AA-C (NPI 1154679744) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA395) and active in the NPI registry since August 2012. He is affiliated with Ascension St Vincent's Southside, maintains a secondary practice location in Albany, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Brock Blankenship Aa-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Brock Blankenship reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 177 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's St Johns County
Acute Care Hospitals · St Johns, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Brock Blankenship's NPI number?
The NPI number for Brock Blankenship is 1154679744. It was assigned to this individual provider in the NPPES registry on August 29, 2012.
Where is Brock Blankenship located?
Brock Blankenship practices at 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207. The listed phone number is (352) 284-4805.
What is Brock Blankenship's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Brock Blankenship enrolled in Medicare?
Yes. Brock Blankenship 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 organization bills Medicare for Brock Blankenship's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brock Blankenship reassigns Medicare benefits to North Florida Anesthesia Consultants Inc (Jacksonville, FL). 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 Brock Blankenship's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brock Blankenship accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Brock Blankenship 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.
Is Brock Blankenship affiliated with any hospitals?
According to CMS data, Brock Blankenship is affiliated with Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.
When was this NPI record last updated?
The NPPES record for Brock Blankenship was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Brock Blankenship, AA-C · NPI 1154679744
Anesthesiologist Assistant physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since August 29, 2012.
## Identity
- **NPI:** 1154679744 (Entity type: Individual)
- **Enumerated:** August 29, 2012
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** AA395 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 RIVERPLACE BLVD STE 2540, Jacksonville, FL 32207-9032
- **Phone:** (352) 284-4805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** North Florida Anesthesia Consultants Inc (NPI 1255009296, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 8, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1154679744) · Data from the CMS NPPES public registry.