SHIRLEY BLANCO NP-C NPI 1659913606
Nurse Practitioner - Family in Crestview, FL
About SHIRLEY BLANCO NP-C
Shirley Blanco is a provider established in Crestview, Florida and her medical specialization is Nurse Practitioner with a focus in family with more than 4 years of experience. The NPI number of this provider is 1659913606 and was assigned on October 2019. The practitioner's primary taxonomy code is 363LF0000X with license number 11004391 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
| NPI | 1659913606 |
| Provider Name | SHIRLEY BLANCO NP-C |
| Location Address | 800 HOSPITAL DR CRESTVIEW, FL 32539 |
| Location Phone | (850) 682-1164 |
| Mailing Address | 2804 REMINGTON GREEN CIR STE 2 TALLAHASSEE, FL 32308 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2019 |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-10-2019 |
| Last Update Date | 10-17-2019 |
A nurse practitioner (NP) like Shirley Blanco is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Shirley Blanco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Shirley Blanco is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with North Okaloosa Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 363LF0000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Family |
| License No. | 11004391 |
| License State | FL |
Business Address
800 HOSPITAL DR
CRESTVIEW, FL
ZIP 32539
Phone: (850) 682-1164
Fax: (850) 682-5302
Mailing Address
2804 REMINGTON GREEN CIR STE 2
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 385-4494
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 42642092 |
| PECOS Enrollment ID | I20191113003100 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32539 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.4 | $178.79 | $90.24 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $22.56 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $103.76 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 18Automated urinalysis test (HCPCS:81003)
- 11Hemoglobin a1c level (HCPCS:83036)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shirley Blanco is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| NORTH OKALOOSA MEDICAL CENTER | 151 REDSTONE AVE SE CRESTVIEW, FL 32539 | (850) 689-8100 | Acute Care Hospitals | 100122 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 9 | 1 | 3 | 6 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 18 | 1 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 8 + 1 + 6 + 6 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1659913606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124564976 | CAROLINA SCHLICKER RDH Individual | Dental Hygienist | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 423-4603 |
| 1316470065 | PATRICIA HAUN RDH Individual | Dental Hygienist | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 423-4603 |
| 1396384582 | JENNIFER VITAL WHITFIELD MD Individual | General Practice | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 682-1164 |
| 1689289563 | LAUREN MARIE SCHAK RN Individual | Registered Nurse (Case Management) | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 682-1164 |
| 1194908954 | NORTH FLORIDA MEDICAL CENTERS INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 682-1164 |
| 1982920906 | NORTH FLORIDA MEDICAL CENTERS, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 423-4603 |
| 1568101509 | DR. MELISSA LAITE DMD Individual | Dentist | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 423-4603 |
| 1487618443 | DR. PAUL STEPHEN BERGER M.D. Individual | Pediatrics | 800 HOSPITAL DR CRESTVIEW, FL 32539 (850) 682-1164 |
Frequently Asked Questions
What is Shirley Blanco NP-C NPI number?
The NPI number assigned to this healthcare provider is 1659913606, registered as an "individual" on October 10, 2019
Where is Shirley Blanco NP-C located?
The provider is located at 800 Hospital Dr Crestview, Fl 32539 and the phone number is (850) 682-1164
Which is Shirley Blanco NP-C specialty?
The provider's speciality is Nurse Practitioner with a focus in Family
How many years of experience does Shirley Blanco NP-C have?
The provider has more than 4 years of experience.
Is Shirley Blanco NP-C registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Shirley Blanco NP-C?
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Shirley Blanco NP-C?
The most common procedures or services performed by this practitioner are: Automated urinalysis test and Hemoglobin a1c level.
Is Shirley Blanco NP-C affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: NORTH OKALOOSA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Shirley Blanco NP-C was last updated on October 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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