SANDRA BLANKS (FNP-C) – Family Nurse Practitioner, NPI 1568056109

SANDRA BLANKS (FNP-C) is a healthcare provider. based in Henagar, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1-121681 (AL). The NPI Number for SANDRA BLANKS (FNP-C) is 1568056109

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA BLANKS (FNP-C)
NPI
1568056109
Phone
(256) 996-8944
Address
3208 COUNTY ROAD 667
Enumeration Date
24 February 2021
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2568448144
Graduation Year
2020 (6 years ago)
PAC ID
5193111250
Group Practice PAC ID
5991244378
Professional Enrollment ID
I20220330000753
Address ID
AL359683421FO423XXSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SANDRA BLANKS (FNP-C)

  • 3208 COUNTY ROAD 667

    HENAGAR, AL 359784862

    Phone: (256) 996-8944

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220330000753INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg6817$0
J0696Injection, ceftriaxone sodium, per 250 mg5213$0
96372Injection of drug or substance under skin or into muscle3725$0
99213Established patient office or other outpatient visit, 20-29 minutes2524$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 35978)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991244378View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Otolaryngology, Allergy/ImmunologyAL
Qualified AudiologistAL
Nurse PractitionerAL
Orthopedic SurgeryNC
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)AL

Reviews

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Frequently asked questions

Can I verify SANDRA BLANKS (FNP-C) with an NPI only?
You can start verification with NPI 1568056109 for SANDRA BLANKS (FNP-C), then check state licensing separately.
Does CMS list SANDRA BLANKS (FNP-C) as active?
Yes — SANDRA BLANKS (FNP-C) is active in the NPI listing used on this page.
What is SANDRA BLANKS (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for SANDRA BLANKS (FNP-C) here. Clinical services aligned with this taxonomy classification.
Does SANDRA BLANKS (FNP-C) list a practice location?
Patients near Henagar, Alabama may find SANDRA BLANKS (FNP-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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