Jocelyne Blanco
Individual provider Active NPI Physician Assistant · Monmouth, OR
NPI 1710748264 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1710748264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 512 Main St E
Monmouth, OR 97361-2369 - Phone
- (503) 838-1182
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salem Health
Practice addresses (Care Compare)
1000 SE Uglow Ave
Dallas, OR 97338-2645
Phone (503) 623-8376
1430 Monmouth St
Independence, OR 97351-1127
Phone (503) 917-2255
512 Main St E
Suite 300
Monmouth, OR 97361-2370
Phone (503) 838-1182
Hospital & facility affiliations
- Salem Health West Valley
- Salem Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409001026 | OR | Practitioner - Physician Assistant | 5698113736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current |
Accepting new patients |
Locations
1000 SE Uglow Ave
Dallas, OR 97338
Phone (503) 623-8376
512 Main St E
Ste 300
Monmouth, OR 97361
Phone (503) 838-1182
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
Interoperability endpoints
- jblanco388249@direct.salemhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
512 Main St E
Monmouth, OR 97361-2369
Mailing address
512 Main St E
Monmouth, OR 97361-2369
Phone (714) 400-6028
Other providers in Monmouth, OR
- Teresa Alarcon Garcia
- Janette J Banasiak
- Richard Bennett
- Birthstone
- Annalissa Joy Bittner
- Molly Bogdanovic
- Shavon Marie Brown
- Nicole Michelle Brunner
- Lori Denise Burkey
- Kaaren Brauner Burnett
All providers in Monmouth, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.