MR. BENJAMIN BLANCO CRNA
NPI 1255609376
Nurse Anesthetist, Certified Registered in Fountain Hill, PA

Active since December 03, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
801 OSTRUM ST, FOUNTAIN HILL, PA 18015(484) 526-4000 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2020, Aug 1, 2019, May 22, 2019 (3 updates tracked since 2019).

About Mr. Benjamin Blanco Crna NPPES

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

MR. BENJAMIN BLANCO CRNA (NPI 1255609376) is an individual nurse anesthetist, certified registered in Fountain Hill, Pennsylvania, licensed in Pennsylvania (RN679646) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1255609376
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BENJAMIN BLANCOCredential: CRNA
Location Address801 OSTRUM STFountain Hill, PA 18015-1000
Mailing Address14 Meadow LnOld Bridge, NJ 08857-2563 · (732) 754-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2011
Last NPPES UpdateJune 1, 20203 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1255609376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in PA · RN679646✔ Licensed in NJ · 26NJ00384300
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
801 OSTRUM ST, Fountain Hill, PA 18015

Secondary Practice Location 1

Location 11 RWJ PlaceNew Brunswick, NJ 08903 · Phone (732) 828-3000

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. Benjamin Blanco Crna 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 ID9931343100
PECOS Enrollment IDI20191017001381
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

4

Medicare enrollment records show Benjamin Blanco reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
801 OSTRUM ST
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 290 clinicians in this Medicare group
Trauma Surgery
801 OSTRUM ST
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Ambulatory Surgical
2401 NORTHAMPTON ST STE 220
Easton, PA 18045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 38 clinicians in this Medicare group
Pulmonary Disease
123B ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
26 services26 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Emergency Medicine
801 OSTRUM ST, DEPT. OF EMERGENCY MEDICINE
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Obstetrics & Gynecology
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Practitioner (Acute Care)
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Anesthetist, Certified Registered
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015

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 Benjamin Blanco's NPI number?

The NPI number for Benjamin Blanco is 1255609376. It was assigned to this individual provider in the NPPES registry on December 3, 2011.

Where is Benjamin Blanco located?

Benjamin Blanco practices at 801 Ostrum St, Fountain Hill, PA 18015. The listed phone number is (484) 526-4000.

What is Benjamin Blanco's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Benjamin Blanco enrolled in Medicare?

Yes. Benjamin 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 Benjamin Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Blanco reassigns Medicare benefits to 4 organizations: Anesthesia Specialists Of Bethlehem, PC (Bethlehem, PA), St. Luke's Physician Group, Inc. (Bethlehem, PA), Nazareth Endoscopy Center, LLC (Easton, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). 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 Benjamin Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Blanco accept?

Health plans from Oscar Health list Benjamin 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.

Is Benjamin Blanco affiliated with any hospitals?

According to CMS data, Benjamin Blanco is affiliated with St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Benjamin Blanco was last updated on June 1, 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.