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CASSIDY BLANK
NPI 1275481384
Physician Assistant - Medical in St Petersburg, FL

Active since March 17, 2026PECOS Enrolled
6827 1ST AVE S STE 100, ST PETERSBURG, FL 33707(727) 341-0551(727) 341-0332 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, Mar 17, 2026 (2 updates tracked since 2026).

About Cassidy Blank NPPES

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

CASSIDY BLANK (NPI 1275481384) is an individual medical provider in St Petersburg, Florida, licensed in Florida (9121727) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Largo, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1275481384
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCASSIDY BLANK
Location Address6827 1ST AVE S STE 100St Petersburg, FL 33707-1242
Mailing Address6827 1st Ave S Ste 100St Petersburg, FL 33707-1242 · (727) 341-0551 · Fax (727) 341-0332
Phone(727) 341-0551
Fax(727) 341-0332
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 17, 2026
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1275481384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 9121727
6827 1ST AVE S STE 100, St Petersburg, FL 33707
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 2nd Ave SW Fl 5Largo, FL 33770-3120 · Phone (727) 341-0551 · Fax (727) 341-0332

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Blank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234609165
PECOS Enrollment IDI20260601002523
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICARDO REQUENA M.D.
Otolaryngology
6827 1ST AVE S STE 100
ST PETERSBURG, FL 33707
Pinellas County (727) 341-0551
DR. ELISA MARGO LYNSKEY M.D.
Otolaryngology
6827 1ST AVE S STE 100
ST PETERSBURG, FL 33707
Pinellas County (727) 341-0551
SKYE DORSETT QUAMINA AUD
Audiologist
6827 1ST AVE S STE 100
ST PETERSBURG, FL 33707
Pinellas County (727) 341-0551
GIA SANTIVASI AUD
Audiologist
6827 1ST AVE S STE 100
ST PETERSBURG, FL 33707
Pinellas County (727) 341-0551

Frequently Asked Questions

What is Cassidy Blank's NPI number?

The NPI number assigned to this healthcare provider is 1275481384, enumerated as an "individual" on March 17, 2026.

Where is the provider located?

The provider is located at 6827 1ST AVE S STE 100 ST PETERSBURG, FL 33707 and the phone number is (727) 341-0551.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.