Jean Caroll Green-Blair, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3403762 Issued in FL

Practice address

815 N Mills Ave Ste 103
Arcadia, FL 34266-8716

Phone

(863) 491-7580

Fax

(863) 491-7584

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jean Caroll Green-Blair Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Arcadia, FL
  • NPI 1285738369
  Medicare reassignment Care Compare group NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Lecanto, FL
  • NPI 1164493664
  NPD (past)
• Lenita Hanson MD PA

  • Specialist
  • Port Charlotte, FL
  • NPI 1699977850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1205992450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-491-4601",
            "fax_number": "863-491-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N MILLS AVE STE 103",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668716",
            "telephone_number": "863-491-7580",
            "fax_number": "863-491-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21297 Olean Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526704",
            "country_code": "US",
            "telephone_number": "941-875-9298",
            "fax_number": "941-235-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-BLAIR",
        "first_name": "JEAN",
        "middle_name": "CAROLL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3403762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306537500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "GREEN-BLAIR",
            "middle_name": "CAROLL",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Letecia Gilchrist, LCSW
• Steven Ginter, RPH
• Elizabeth Ann Gomez, PTA
• Tonya Gomez
• Danielle C Graham
• Erica M.P. Gricar, LCSW
• Zorana Grujic, MD
• Nevena Hall
• James Hanson
• Ryan Harkness, PHARM.D

• Family Nurse Practitioner in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.