JEANETTE LILLY BLANKS NP
NPI 1710563713
Nurse Practitioner - Family in San Francisco, CA

Q: 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.

Q: What is Jeanette Blanks'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 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 21 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.

Active since March 20, 2021PECOS Enrolled

2340 CLAY ST FL 6, SAN FRANCISCO, CA 94115(415) 674-5200 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Mar 20, 2021 (2 updates tracked since 2021).

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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

NPI1710563713

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEANETTE LILLY BLANKSCredential: NP

Location Address2340 CLAY ST FL 6San Francisco, CA 94115-1932

Mailing Address46 Culebra TerSan Francisco, CA 94109-1123 · (415) 530-9630

Phone(415) 674-5200

Sole ProprietorNo

Enumeration DateMarch 20, 2021

Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1710563713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95025772

Also ListedHealth EducatorTaxonomy 174H00000X

2340 CLAY ST FL 6, San Francisco, CA 94115

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Secondary Practice Locations 2

Location 1445 S Figueroa St Fl 31Los Angeles, CA 90071-1602 · Phone (888) 731-8994

Location 21310 Club DrVallejo, CA 94592-1187 · Phone (415) 530-9630

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanette Lilly Blanks Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Other Providers at the Same Location NPPES 15

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

MD WEIGHT MANAGEMENT, INC.

Internal Medicine