Individual provider Active NPI

Jessin Helmrick-Blossom, M.D.

  • MOHS-Micrographic Surgery Physician
  • Ocala, FL
National Provider Identifier
1265661680
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME143048 Issued in FL
Practice address
3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone
(352) 629-8154
Fax
(352) 629-5231
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME143048 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME143048 FL Primary

Addresses

Primary practice location

3320 SW 34TH Cir
Ocala, FL 34474-3371

Mailing address

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

Other practice location 1

5253 Central Ave
St Petersburg, FL 33710-8141
Phone (727) 388-6982

Other practice location 2

20056 E Pennsylvania Ave Unit 6
Dunnellon, FL 34432-6069
Phone (352) 850-8154

Other practice location 3

11950 County Road 101 Ste 205
The Villages, FL 32162-9334
Phone (352) 750-0019

Other names 1

  • Jessin Blossom Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001767 FL Practitioner - Dermatology 1951618172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of tissue20
Removal of skin lesions521
Removal of skin cancer215
Removal or shaving of skin growth13
Skin biopsy299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Visage Dermatology, LLC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Aesthetic Center for Cosmetic & Reconstructive Surgery, LLP CurrentSince Jan 1, 2024 Accepting new patients
Midstate Skin Institute, LLC Dermatology CurrentSince Feb 1, 2020 Accepting new patients

Locations

20056 E Pennsylvania Ave
Unit 6
Dunnellon, FL 34432
Phone (352) 422-0602

3210 SW 33rd Rd
Ste 101
Ocala, FL 34474
Phone (352) 512-0092

7550 SW 61st Ave
#1
Ocala, FL 34476
Phone (352) 512-0092

1740 SE 18th St
Ste 1102
Ocala, FL 34471
Phone (352) 412-0092

3320 SW 34th Cir
Ocala, FL 34474
Phone (352) 479-0149

1630 SE 18th St
Ste 400
Ocala, FL 34471
Phone (352) 351-3093

5253 Central Ave
St Petersburg, FL 33710
Phone (727) 388-6982

11950 County Road 101
Ste 205
The Villages, FL 32162
Phone (352) 750-0019

11950 County Road 101
The Villages, FL 32162
Phone (352) 391-6190

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jhelmrickblossom@directaddress.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1265661680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5253 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108141",
            "country_code": "US",
            "telephone_number": "727-388-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20056 E Pennsylvania Ave Unit 6",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344326069",
            "country_code": "US",
            "telephone_number": "352-850-8154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11950 County Road 101 Ste 205",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321629334",
            "country_code": "US",
            "telephone_number": "352-750-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMRICK-BLOSSOM",
        "first_name": "JESSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME143048",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME143048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIN",
            "last_name": "BLOSSOM",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.