Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristianne Blankenburg, PA-C

Individual provider Physician Assistant · NPI 1558971432

Kristianne Blankenburg, PA-C is a Physician Assistant in El Paso, Texas. Qualified in 2021, 5 years ago. Practices with Southwest Hcp Access PA, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

655 E Redd Rd Bldg B
El Paso, TX 79912-1242
Phone: (915) 303-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4659 Cohen Ave Unit B, El Paso, TX 79924-4430 — (915) 751-1152
  • 1560 Lomaland Dr, El Paso, TX 79935-4202 — (915) 444-8394

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15142 (TX)

Record details

NPI number1558971432
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southwest Hcp Access Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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