MR. STEFAN HUGO BLANCO (APRN) – Family Nurse Practitioner, NPI 1104393453

MR. STEFAN HUGO BLANCO (APRN) is a healthcare provider. based in Hialeah, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11000226 (FL). The NPI Number for MR. STEFAN HUGO BLANCO (APRN) is 1104393453

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEFAN HUGO BLANCO (APRN)
NPI
1104393453
Phone
(786) 447-3359
Address
1754 W 75TH ST
Enumeration Date
25 October 2018
Last Update Date
21 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864751985
Graduation Year
2018 (8 years ago)
PAC ID
2466860978
Group Practice PAC ID
6204359987
Professional Enrollment ID
I20210422001502
Address ID
FL330161875HI7100XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MR. STEFAN HUGO BLANCO (APRN)

  • 1754, West 75th Street, Hialeah, Miami-Dade County, Florida, 33014, United States

    HIALEAH, FL 330143737

    Phone: (786) 447-3359

    Type: Mailing

  • Palmetto General Hospital, 2001, West 68th Street, Hialeah, Miami-Dade County, Florida, 33015, United States

    HIALEAH, FL 330161801

    Phone: (305) 364-2104

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $3,215.

Total Amount is formed as General ($3,215) + Research ($0) + Ownership ($0) = $3,215.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($1,888).

Total Amount

$3,215

General + Research + Ownership

Payments

106

Total payment records

General Amount

$3,215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-22

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
I20210422001502INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33014)

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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: 6204359987View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerME
N E U R O L O G YTN
Thoracic SurgeryFL
Nurse PractitionerGA
Thoracic Surgery, General SurgeryFL
N E U R O S U R G E R YFL
Surgical OncologyFL
General SurgeryAZ
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify MR. STEFAN HUGO BLANCO (APRN) for billing?
Administrative and clinical systems typically use NPI 1104393453 for MR. STEFAN HUGO BLANCO (APRN).
Is MR. STEFAN HUGO BLANCO (APRN) currently accepting referrals based on NPI status?
Registry metadata lists MR. STEFAN HUGO BLANCO (APRN) as active.
What does the directory say MR. STEFAN HUGO BLANCO (APRN) does?
Insurance directories may phrase it differently, but here MR. STEFAN HUGO BLANCO (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. STEFAN HUGO BLANCO (APRN)?
MR. STEFAN HUGO BLANCO (APRN) is associated with Hialeah, Florida in the same public data insurers reference.
Why is information missing for MR. STEFAN HUGO BLANCO (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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