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DEBRA BLANKE NP
NPI 1962749093
Nurse Practitioner - Adult Health in Atlanta, GA

Active since January 09, 2013PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG A-3449, ATLANTA, GA 30322(404) 778-4766 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Debra Blanke Np NPPES

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

DEBRA BLANKE NP (NPI 1962749093) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN151193) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Maryland School Of Medicine (1998).

NPPES Registry Identity

NPI1962749093
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDEBRA BLANKECredential: NP
Location Address1365 CLIFTON RD NE BLDG A-3449Atlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg A-3449Atlanta, GA 30322-1013 · (404) 778-4766
Phone(404) 778-4766
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1998
Enumeration DateJanuary 9, 2013
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1962749093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN151193
1365 CLIFTON RD NE BLDG A-3449, Atlanta, GA 30322
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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 and accepts Medicare assignment

Debra Blanke Np 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 ID840426854
PECOS Enrollment IDI20131121002016
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
293 services198 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Debra Blanke's NPI number?

The NPI number for Debra Blanke is 1962749093. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Debra Blanke located?

Debra Blanke practices at 1365 Clifton Rd NE Bldg A-3449, Atlanta, GA 30322. The listed phone number is (404) 778-4766.

What is Debra Blanke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Debra Blanke enrolled in Medicare?

Yes. Debra Blanke 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.

Is Debra Blanke affiliated with any hospitals?

According to CMS data, Debra Blanke is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Debra Blanke was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.