JESSE BLANTON (PA-C) – Physician Assistant, NPI 1770910705

JESSE BLANTON (PA-C) is a healthcare provider. based in Waipahu, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. AMD-711 (HI). The NPI Number for JESSE BLANTON (PA-C) is 1770910705

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JESSE BLANTON (PA-C)
NPI
1770910705
Phone
(828) 381-4720
Address
94-1143 KALOLI LOOP
Enumeration Date
4 October 2013
Last Update Date
8 October 2018

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8084323600
Graduation Year
2013 (13 years ago)
PAC ID
5991934721
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20161031001463
Address ID
HI967075607KA401XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

356 PHYSICIAN ASSISTANT in HI

Provider Addresses for JESSE BLANTON (PA-C)

  • 94-1143 KALOLI LOOP

    WAIPAHU, HI 967975427

    Phone: (828) 381-4720

    Type: Mailing

  • 770 KAPIOLANI BLVD

    HONOLULU, HI 968135212

    Phone: (808) 597-8778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
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: 2016-10-31

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
I20161031001463IPhysician AssistantHITBD

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
99284Emergency department visit with moderate level of medical decision making6969$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 96797)

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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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

How do payers reference JESSE BLANTON (PA-C)?
For JESSE BLANTON (PA-C), use NPI 1770910705 as the unique 10-digit identifier.
Is JESSE BLANTON (PA-C) shown as active in public data?
Registry records indicate JESSE BLANTON (PA-C) maintains an active NPI.
What expertise is attributed to JESSE BLANTON (PA-C)?
JESSE BLANTON (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JESSE BLANTON (PA-C) located near Waipahu?
JESSE BLANTON (PA-C) currently maps to Waipahu, Hawaii in this extract.
Does JESSE BLANTON (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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