Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063083582 Individual Practitioner Male Practitioner

Mark N Blanke , CRNP

Nurse Practitioner - Pediatrics • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Mark Blanke, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Philadelphia, PA. Practice services are available at 3400 CIVIC CENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 Civic Center Blvd

Philadelphia, PA 191045127

Telephone 2155901000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
594 Specialists

Practicing in Philadelphia, PA (1161 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License PA SP023534

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Certified Registered Nurse Practitioner - Pennsylvania State Board Of Nursing
SP023534 (PA)
Commercial Insurance / Payer ID Prescriptive Authority - Pennsylvania State Board Of Nursing
NPPA045761 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Brian Lestini , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1003009523

Doctor of Medicine (M.D.)

NPI 1003091406

Doctor of Medicine (M.D.)

Dr. Matthew Schreier , MD

Pediatrics - Pediatric Cardiology

NPI 1003376435

Doctor of Medicine (M.D.)

Dr. Terrence Caldwell , PharmD

Pharmacist - Pediatrics

NPI 1003427014

Doctor of Pharmacy (Pharm.D.)

Alyssa Stiefel , CRNP

Nurse Practitioner - Pediatrics

NPI 1003447962

Certified Registered Nurse Practitioner

Dr. Rebecca Hammonds , PhD

Psychologist - Clinical

NPI 1003449661

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2021

Registered at 3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 191045127 (Tel: 2155901000)

📍
Updated Business Mailing Address July 06, 2021

Registered at 3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 191045127 (Tel: 2155901000)

👤
Provider Name / Credentials Updated July 06, 2021

Recorded as MARK BLANKE, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Nurse Practitioner (License #SP023534 in PA)

🟢
Initial NPI Registration & Enumeration July 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063083582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2021
Last Update: July 06, 2021
Sole Proprietor: Yes

Mailing Address

3400 Civic Center Blvd

Philadelphia, PA 191045127

Phone: 2155901000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.