MS. BLAKELEY ELIZABETH BURLESON (PA-C) – Medical Physician Assistant, NPI 1245740422

MS. BLAKELEY ELIZABETH BURLESON (PA-C) is a healthcare provider. based in Largo, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9114793 (FL). The NPI Number for MS. BLAKELEY ELIZABETH BURLESON (PA-C) is 1245740422

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. BLAKELEY ELIZABETH BURLESON (PA-C)
NPI
1245740422
Phone
(727) 547-4700
Address
12416 66TH ST STE A
Enumeration Date
2 October 2017
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
7113285461
Group Practice PAC ID
0547299836
Professional Enrollment ID
I20211202001090
Address ID
FL337733430LA12416NXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MS. BLAKELEY ELIZABETH BURLESON (PA-C)

  • 12416 66TH ST STE A

    LARGO, FL 337733430

    Phone: (727) 547-4700

    Type: Mailing

  • 508 BROOKDALE DR

    PINEY FLATS, TN 376864254

    Phone: (423) 335-3964

    Type: Mailing

  • 21, Professional Park Drive, Clarksville, Johnson County, Arkansas, 72830, United States

    JOHNSON CITY, TN 376046529

    Phone: (423) 434-6300

    Fax: (423) 434-6312

    Type: Location

  • PO BOX 7410884

    CHICAGO, IL 606740884

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 3301 N MCMULLEN BOOTH RD

    CLEARWATER, FL 337612014

    Phone: (872) 231-3162

    Fax: (702) 977-1496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $427.

Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Stryker Corporation ($305).

Total Amount

$427

General + Research + Ownership

Payments

8

Total payment records

General Amount

$427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-02

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
I20211202001090IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee2323$0
27335Incision of knee joint with removal of cartilage of front and back of knee1212$0
View full utilization report →

Insurance plans in this area (ZIP 33773)

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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: 0547299836View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MS. BLAKELEY ELIZABETH BURLESON (PA-C)?
NPI 1245740422 is assigned to MS. BLAKELEY ELIZABETH BURLESON (PA-C) under the national enumeration system.
Is MS. BLAKELEY ELIZABETH BURLESON (PA-C) active in the national directory?
MS. BLAKELEY ELIZABETH BURLESON (PA-C)'s public NPI profile is in an active state.
Does MS. BLAKELEY ELIZABETH BURLESON (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MS. BLAKELEY ELIZABETH BURLESON (PA-C). Clinical services aligned with this taxonomy classification.
Does MS. BLAKELEY ELIZABETH BURLESON (PA-C) practice in Florida?
You will see Largo, Florida on file for MS. BLAKELEY ELIZABETH BURLESON (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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