BLANCA IRIS PADILLA APRN, BC
NPI 1245346170
Nurse Practitioner - Family in Durham, NC
About Blanca Iris Padilla Aprn, Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLANCA IRIS PADILLA APRN, BC (NPI 1245346170) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5007367) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Duke Regional Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
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
Blanca Iris Padilla Aprn, Bc 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 Reassignments
2Medicare enrollment records show Blanca Padilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27707
- Reassigned Medicare billing, North Carolina enrollment
- 66 clinicians in this Medicare group
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27707
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 Blanca Padilla's NPI number?
The NPI number for Blanca Padilla is 1245346170. It was assigned to this individual provider in the NPPES registry on August 22, 2006.
Where is Blanca Padilla located?
Blanca Padilla practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4000.
What is Blanca Padilla's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Blanca Padilla enrolled in Medicare?
Yes. Blanca Padilla 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 Blanca Padilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blanca Padilla reassigns Medicare benefits to 2 organizations: Lincoln Community Health Center Incorporated (Durham, NC) and Duke Health Integrated Practice, Inc. (Durham, NC). 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 Blanca Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blanca Padilla accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Blanca Padilla 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 Blanca Padilla affiliated with any hospitals?
According to CMS data, Blanca Padilla is affiliated with Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Blanca Padilla was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Blanca Iris Padilla, APRN, BC · NPI 1245346170
Family physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1245346170 (Entity type: Individual)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5007367 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 FAYETTEVILLE ST, Durham, NC 27707-2325
- **Phone:** (919) 956-4000 · **Fax:** (615) 292-9706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lincoln Community Health Center Incorporated (NPI 1114978582, Durham, NC); Duke Health Integrated Practice, Inc. (NPI 1205553369, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245346170) · Data from the CMS NPPES public registry.