AMY BLANKS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104372952

AMY BLANKS (CRNA) is a healthcare provider. based in Orland park, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209014650 (IL). The NPI Number for AMY BLANKS (CRNA) is 1104372952

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMY BLANKS (CRNA)
NPI
1104372952
Phone
(843) 615-3535
Address
13959 S 95TH AVE
Enumeration Date
31 August 2016
Last Update Date
31 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096925393
Graduation Year
2014 (12 years ago)
PAC ID
7113202722
Group Practice PAC ID
6305744129
Professional Enrollment ID
I20170322001869
Address ID
IL616152402PE6742XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for AMY BLANKS (CRNA)

  • South 95th Avenue, Orland Park, Orland Township, Cook County, Illinois, 60462, United States

    ORLAND PARK, IL 604621204

    Phone: (843) 615-3535

    Type: Mailing

  • 95th Avenue, Orland Park, Orland Township, Cook County, Illinois, 60462, United States

    ORLAND PARK, IL 60462

    Phone: (843) 615-3535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($21).

Total Amount

$51

General + Research + Ownership

Payments

3

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-03-22

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
I20170322001869ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 60462)

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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: 6305744129View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Pain Management, AnesthesiologyIL
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-MO

Reviews

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Frequently asked questions

What NPI should I save for AMY BLANKS (CRNA)?
Save NPI 1104372952 if you need a stable reference for AMY BLANKS (CRNA).
Is AMY BLANKS (CRNA) currently active in the NPI registry?
CMS-published data lists AMY BLANKS (CRNA) as an active registrant.
What field does AMY BLANKS (CRNA) work in?
You can think of AMY BLANKS (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place AMY BLANKS (CRNA)?
The snapshot lists Orland Park, Illinois for AMY BLANKS (CRNA); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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