ASHLEIGH BLAKELY (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1003603986

ASHLEIGH BLAKELY (MSN, APRN, FNP-C) is a healthcare provider. based in Niceville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. APRN11039037 (FL). The NPI Number for ASHLEIGH BLAKELY (MSN, APRN, FNP-C) is 1003603986

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
ASHLEIGH BLAKELY (MSN, APRN, FNP-C)
NPI
1003603986
Phone
(850) 736-5536
Address
210 BROOK CT
Enumeration Date
23 April 2025
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506825322
Graduation Year
2025 (1 year ago)
PAC ID
7214455526
Group Practice PAC ID
4486911641
Professional Enrollment ID
I20250520000921
Address ID
FL325393109CR1849XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ASHLEIGH BLAKELY (MSN, APRN, FNP-C)

  • 210 BROOK CT

    NICEVILLE, FL 325783911

    Phone: (850) 736-5536

    Type: Mailing

  • 151 E REDSTONE AVE

    CRESTVIEW, FL 325395352

    Phone: (850) 689-8100

    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: 2025-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250520000921INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486911641View full group profile

Reviews

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Frequently asked questions

Can I verify ASHLEIGH BLAKELY (MSN, APRN, FNP-C) with an NPI only?
You can start verification with NPI 1003603986 for ASHLEIGH BLAKELY (MSN, APRN, FNP-C), then check state licensing separately.
Does CMS list ASHLEIGH BLAKELY (MSN, APRN, FNP-C) as active?
Yes — ASHLEIGH BLAKELY (MSN, APRN, FNP-C) is active in the NPI listing used on this page.
What healthcare role does ASHLEIGH BLAKELY (MSN, APRN, FNP-C) hold?
Scheduling teams often label ASHLEIGH BLAKELY (MSN, APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ASHLEIGH BLAKELY (MSN, APRN, FNP-C)?
ASHLEIGH BLAKELY (MSN, APRN, FNP-C)'s geographic hint is Niceville, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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