RITA BLANKO – Nurse Practitioner, NPI 1154181980

RITA BLANKO is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold a License No. APRN03794 (RI). The NPI Number for RITA BLANKO is 1154181980

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
RITA BLANKO
NPI
1154181980
Phone
(401) 444-6779
Address
10 DAVOL SQ STE 400
Enumeration Date
20 March 2024
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017935700
Graduation Year
2023 (3 years ago)
PAC ID
6406371822
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20250418000154
Address ID
RI029042609PR146XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for RITA BLANKO

  • 10 DAVOL SQ STE 400

    PROVIDENCE, RI 029034752

    Phone: (401) 444-6779

    Type: Mailing

  • 146 W RIVER ST FL 3

    PROVIDENCE, RI 029042609

    Phone: (401) 793-5700

    Fax: (401) 793-7801

    Type: Location

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: 2025-04-18

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
I20250418000154INurse PractitionerRITBD

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 02903)

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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: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Physician AssistantRI

Reviews

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Frequently asked questions

Can I cross-check RITA BLANKO using NPI 1154181980?
NPI 1154181980 belongs to RITA BLANKO; compare other details if you need extra assurance.
Active or inactive — what applies to RITA BLANKO?
You should see RITA BLANKO as active in CMS-hosted NPPES data.
What kind of doctor is RITA BLANKO?
RITA BLANKO is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is RITA BLANKO located near Providence?
RITA BLANKO currently maps to Providence, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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