TARA LYNN BLANK (PA-C) – Physician Assistant, NPI 1841266053
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for TARA LYNN BLANK (PA-C)
3050, Commerce Drive, Fort Gratiot Charter Township, Saint Clair County, Michigan, 48059, United States
SUITE B
FORT GRATIOT, MI 480593819
Phone: (810) 385-4441
Fax: (810) 385-1540
Type: Mailing
1231, Pine Grove Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
SUITE 2A
PORT HURON, MI 480603500
Phone: (810) 982-8742
Fax: (810) 984-8291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $591.
Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($135).
Total Amount
$591
General + Research + Ownership
Payments
33
Total payment records
General Amount
$591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $135 |
| Janssen Biotech, Inc. | $118 |
| Takeda Pharmaceuticals U.S.A., Inc. | $110 |
| Gilead Sciences, Inc. | $76 |
| IRONWOOD PHARMACEUTICALS, INC | $39 |
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: 2006-09-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060905000231 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 48059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | MI |
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