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JACQUELIN BLOMKER
NPI 1760127047
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 02, 2022PECOS Enrolled
420 DELAWARE STREET SE, MMC284, MINNEAPOLIS, MN 55455(612) 626-5454 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelin Blomker NPPES

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

JACQUELIN BLOMKER (NPI 1760127047) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760127047
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELIN BLOMKER
Location Address420 DELAWARE STREET SE, MMC284Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc284Minneapolis, MN 55455 · (612) 626-5454
Phone(612) 626-5454
Sole ProprietorYes
Enumeration DateMay 2, 2022
NPPES CertifiedApril 16, 2022
✔ NPI 1760127047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE STREET SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelin Blomker 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.

Other Providers at the Same Location NPPES 20

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

ROSS RYBAKOWICZ MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
ANOOJ PATEL
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-4777
SUCHAPA ARAYAKARNKUL M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454
DR. BOYANGZI LI MD, PHD
Internal Medicine (Cardiovascular Disease)
420 DELAWARE STREET SE, MMC 508
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-2589
DR. JACQUELINE TUCKER MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 396
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7692
NEUROLOGY LTD.
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-1431
CHESNEY BURGWEGER SIEMS MD
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
SANA KAGALWALLA
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454

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 Jacquelin Blomker's NPI number?

The NPI number for Jacquelin Blomker is 1760127047. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jacquelin Blomker located?

Jacquelin Blomker practices at 420 Delaware Street SE Mmc284, Minneapolis, MN 55455. The listed phone number is (612) 626-5454.

What is Jacquelin Blomker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacquelin Blomker enrolled in Medicare?

Yes. Jacquelin Blomker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelin Blomker was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.