JEANETTE LILLY BLANKS NP
NPI 1710563713
Nurse Practitioner - Family in San Francisco, CA
About Jeanette Lilly Blanks Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTE LILLY BLANKS NP (NPI 1710563713) is an individual family provider in San Francisco, California, licensed in California (95025772) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanette Lilly Blanks Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanette Blanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94115
- Reassigned Medicare billing, California enrollment
- 14 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94115 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeanette Blanks's NPI number?
The NPI number for Jeanette Blanks is 1710563713. It was assigned to this individual provider in the NPPES registry on March 20, 2021.
Where is Jeanette Blanks located?
Jeanette Blanks practices at 2340 Clay St Fl 6, San Francisco, CA 94115. The listed phone number is (415) 674-5200.
What is Jeanette Blanks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeanette Blanks enrolled in Medicare?
Yes. Jeanette Blanks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanette Blanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Blanks reassigns Medicare benefits to Pacific Heights Medical Group (San Francisco, CA). The 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 Jeanette Blanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeanette Blanks was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Jeanette Lilly Blanks, NP · NPI 1710563713
Family physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1710563713 (Entity type: Individual)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95025772 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2340 CLAY ST FL 6, San Francisco, CA 94115-1932
- **Phone:** (415) 674-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacific Heights Medical Group (NPI 1376693200, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710563713) · Data from the CMS NPPES public registry.