Individual provider Active NPI

Sabrina Blancas, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1477009553
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9318956 Issued in FL
Practice address
2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127
Phone
(321) 985-9097
Fax
(321) 301-4869
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9318956 FL Primary

Addresses

Primary practice location

2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127

Mailing address

2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127
Phone (321) 985-9097

Other practice location 1

205 E Nasa Blvd Fl 2
Melbourne, FL 32901
Phone (321) 361-5622

Other practice location 2

8095 Spyglass Hill Rd
#101
Melbourne, FL 32940-8290
Phone (321) 757-0577

Other practice location 3

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087
Phone (866) 949-0108

Other practice location 4

260 North Tropical Trail
Ste 105
Merritt Island, FL 32953-4800
Phone (321) 208-8258

Other identifiers 2

IdentifierTypeStateIssuer
102592400MedicaidFL
LC996OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309000588 FL Practitioner - Nurse Practitioner 4587948641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care LLCGroup PAC ID 8123326113, 8 clinicians

Practice addresses (Care Compare)

119 N Banana River Dr
Merritt Island, FL 32952-2546
Phone (321) 985-9097

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9318956FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care LLC CurrentSince Aug 28, 2023 Accepting new patients
Hobbs Pharmacy United Incorporated PastSince Aug 28, 2023 Accepting new patients

Locations

2400 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953
Phone (321) 784-8211

119 N Banana River Dr
Merritt Island, FL 32952
Phone (321) 452-0010

590 Malabar Rd SE
Ste 7
Palm Bay, FL 32907
Phone (321) 676-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ms_sblancas@landmarkhealth-direct.org
  • FHIR API: https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1477009553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-985-9097",
            "fax_number": "321-301-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-985-9097",
            "fax_number": "321-301-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Nasa Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-361-5622",
            "fax_number": "321-723-9176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8095 Spyglass Hill Rd",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408290",
            "country_code": "US",
            "telephone_number": "321-757-0577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8875 Hidden River Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336372087",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 North Tropical Trail",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534800",
            "country_code": "US",
            "telephone_number": "321-208-8258",
            "fax_number": "321-735-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCAS",
        "first_name": "SABRINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9318956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102592400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LC996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.