YANA NICOLE BLAISE (RN, FNP) – Family Nurse Practitioner, NPI 1083859789
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for YANA NICOLE BLAISE (RN, FNP)
486 FISHERMAN ST
OPA LOCKA, FL 330543818
Phone: (305) 688-5456
Fax: (305) 688-1661
Type: Location
Coconut Grove School, Grand Avenue, Miami, Miami-Dade County, Florida, 33133, United States
COCONUT GROVE, FL 331334953
Phone: (305) 446-5917
Fax: (305) 446-0712
Type: Mailing
Coconut Grove School, Grand Avenue, Ocean View Heights, Miami, Miami-Dade County, Florida, 33133, United States
COCONUT GROVE, FL 33133
Phone: (305) 446-5917
Fax: (305) 446-0712
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: 2023-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| I20131126000572 | I | Nurse Practitioner | FL | TBD |
| I20230927000237 | I | Nurse Practitioner | NE | TBD |
| I20230927000322 | I | Nurse Practitioner | MI | TBD |
| I20231006001540 | I | Nurse Practitioner | CO | TBD |
| I20231006002019 | I | Nurse Practitioner | ME | TBD |
| I20231006002359 | I | Nurse Practitioner | DC | TBD |
| I20231006003084 | I | Nurse Practitioner | ID | TBD |
| I20231006003165 | I | Nurse Practitioner | AZ | TBD |
| I20231008000152 | I | Nurse Practitioner | SD | TBD |
| I20231009001051 | I | Nurse Practitioner | NV | TBD |
| I20231010001728 | I | Nurse Practitioner | MT | TBD |
| I20231012000114 | I | Nurse Practitioner | MD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33054)
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