Individual provider Active NPI

Blake Nutt, APRN, FNP-C

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1285443150
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037113 Issued in FL
Practice address
225 Sunnyside Dr
Leesburg, FL 34748-6171
Phone
(352) 551-6221
NPI assigned
Jan 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9595680 FL
Family Nurse Practitioner 363LF0000X 11037113 FL Primary

Addresses

Primary practice location

225 Sunnyside Dr
Leesburg, FL 34748-6171

Mailing address

2177 Beardsley Dr
Apopka, FL 32703-1672
Phone (352) 551-6221

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000930 FL Practitioner - Nurse Practitioner 3072035195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Phone (407) 892-7344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9595680FLMDRegistered Nurse
11037113FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Level-Up Aprn, PLLC Family CurrentSince Oct 21, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 3, 2025 Accepting new patients
Altea Medical Florida PLLC CurrentSince Jun 28, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

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": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1285443150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 BEARDSLEY DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031672",
            "telephone_number": "352-551-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SUNNYSIDE DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486171",
            "telephone_number": "352-551-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "BLAKE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9595680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.