JACQUELINE BLANCH APRN
NPI 1386012631
Nurse Practitioner - Family in Queen Creek, AZ

Q: What is Jacqueline Blanch's NPI number?

The NPI number for Jacqueline Blanch is 1386012631. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Q: What is Jacqueline Blanch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Blanch was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment

37100 N GANTZEL RD STE 201A201B, QUEEN CREEK, AZ 85140(480) 394-4469(480) 394-4520 Get Directions Write a Review

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

Record update history: Sep 1, 2026, Jul 31, 2026, Apr 13, 2023 (3 updates tracked since 2023).

On this page

About Jacqueline Blanch Aprn NPPES

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

JACQUELINE BLANCH APRN (NPI 1386012631) is an individual family provider in Queen Creek, Arizona, licensed in Arizona (285348) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386012631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE BLANCHCredential: APRN

Location Address37100 N GANTZEL RD STE 201A201BQueen Creek, AZ 85140-7349

Mailing Address37100 N Gantzel Rd Ste 201a201bQueen Creek, AZ 85140-7349 · (480) 394-4469 · Fax (480) 394-4520

Phone(480) 394-4469

Fax(480) 394-4520

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 3, 2015

Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1386012631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 285348

37100 N GANTZEL RD STE 201A201B, Queen Creek, AZ 85140

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Secondary Practice Location 1

Location 1950 E Main StMesa, AZ 85203-8820 · Phone (833) 855-9973

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.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

Jacqueline Blanch Aprn 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 ID1153796743

PECOS Enrollment IDI20230413000612

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

Medicare enrollment records show Jacqueline Blanch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maricopa County Special Health Care District

20 mi

Adult Mental Health

950 E MAIN ST
Mesa, AZ 85203

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1104331115 (602) 655-6260

District Medical Group, Inc

22 mi

Psychiatry

570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1437482544 (480) 344-2000

Banner Primary Care Physicians Arizona LLC

35 mi

Primary Care

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
271 clinicians in this Medicare group

NPI 1417238908 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85140 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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 Jacqueline Blanch's NPI number?

The NPI number for Jacqueline Blanch is 1386012631. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Jacqueline Blanch located?

Jacqueline Blanch practices at 37100 N Gantzel Rd Ste 201a201b, Queen Creek, AZ 85140. The listed phone number is (480) 394-4469.

What is Jacqueline Blanch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Blanch enrolled in Medicare?

Yes. Jacqueline Blanch 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 Jacqueline Blanch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Blanch reassigns Medicare benefits to 3 organizations: Maricopa County Special Health Care District (Mesa, AZ), District Medical Group, Inc (Mesa, AZ) and Banner Primary Care Physicians Arizona LLC (Phoenix, AZ). 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 Jacqueline Blanch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Blanch accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and UnitedHealthcare list Jacqueline Blanch 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Blanch was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.