KELLY BLOCKER – Family Nurse Practitioner, NPI 1598534729

KELLY BLOCKER is a healthcare provider. based in Silver springs, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11029942 (FL). The NPI Number for KELLY BLOCKER is 1598534729

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLY BLOCKER
NPI
1598534729
Phone
(352) 361-6788
Address
596 NE 142ND AVE
Enumeration Date
28 December 2023
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3523048986
Graduation Year
2023 (3 years ago)
PAC ID
4183122716
Group Practice PAC ID
0749295137
Professional Enrollment ID
I20250812003003
Address ID
FL344717857OC1950XCTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KELLY BLOCKER

  • 596 NE 142ND AVE

    SILVER SPRINGS, FL 344884119

    Phone: (352) 361-6788

    Type: Mailing

  • 1950 SW 18TH CT STE 101

    OCALA, FL 344717857

    Phone: (352) 861-8555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,106.

Total Amount is formed as General ($1,106) + Research ($0) + Ownership ($0) = $1,106.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($233).

Total Amount

$1,106

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2025-08-12

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
I20250812003003INurse 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 34488)

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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: 0749295137View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyFL

Reviews

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Frequently asked questions

What federal number belongs to KELLY BLOCKER?
The federal identifier for KELLY BLOCKER is NPI 1598534729.
Is KELLY BLOCKER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLY BLOCKER work in?
You can think of KELLY BLOCKER as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY BLOCKER?
The page summarizes Silver Springs, Florida for KELLY BLOCKER; expand the address list for detail.
Is KELLY BLOCKER a real provider?
This page reflects official NPPES data for NPI 1598534729. Always confirm identity and privileges with the practice and licensing boards.

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