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MR. GUSTAVO DARIO BLANCAS ARNP
NPI 1184054959
Nurse Practitioner - Acute Care in Melbourne, FL

Active since November 15, 2013PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2019, Jan 15, 2016 (2 updates tracked since 2016).

About Mr. Gustavo Dario Blancas Arnp NPPES

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

MR. GUSTAVO DARIO BLANCAS ARNP (NPI 1184054959) is an individual acute care provider in Melbourne, Florida, licensed in Florida (APRN9268820) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184054959
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. GUSTAVO DARIO BLANCASCredential: ARNP
Location Address1350 HICKORY STMelbourne, FL 32901
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1771 · Fax (321) 951-7408
Phone(321) 434-1771
Fax(321) 434-1775
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 15, 2013
Last NPPES UpdateApril 8, 20192 updates tracked since enumeration
✔ NPI 1184054959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · APRN9268820
1350 HICKORY ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 2

Medicaid011063000FL
OtherHU281YFL · Medicare

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. Gustavo Dario Blancas Arnp 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 ID5597989004
PECOS Enrollment IDI20140623002585
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 3

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225
MARIA DEL C MARTINEZ M.D.
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771

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 Gustavo Blancas's NPI number?

The NPI number for Gustavo Blancas is 1184054959. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Gustavo Blancas located?

Gustavo Blancas practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1771.

What is Gustavo Blancas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Gustavo Blancas enrolled in Medicare?

Yes. Gustavo Blancas 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.

Is Gustavo Blancas affiliated with any hospitals?

According to CMS data, Gustavo Blancas is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Blancas was last updated on April 8, 2019. 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.