Kurt Neal Blackman, DNP, APRN
Individual provider Active NPI Family Nurse Practitioner · Bushnell, FL
NPI 1306848973 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1306848973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9166835 (FL)
- Practice address
- 9544 C 476B
Bushnell, FL 33513-8612 - Phone
- (352) 568-4610
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Emergency Services LLC
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 576-5400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070929000072 | FL | Practitioner - Nurse Practitioner | 4688769052 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Current |
Accepting new patients | |
| FL-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Small Hospital Innovations LLC | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| FL-I Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| W4P LLC | Current |
Accepting new patients | |
| Total Care Plus LLC | Current |
Accepting new patients | |
| Mobile Medical Industries Inc | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
7284 Broad St
Brooksville, FL 34601
Phone (352) 631-5560
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kblackman296365@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | ARNP9166835 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9166835 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9166835 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9166835 | FL | Yes |
Addresses
Primary practice location
9544 C 476B
Bushnell, FL 33513-8612
Mailing address
9408 US 19
New Port Richey, FL 34652-1146
Other practice location 1
7381 114th Ave
403B
Largo, FL 33773-5131
Phone (727) 489-0175
Other providers in Bushnell, FL
- Symlene Alummoottil
- Amy'S Caring Hands
- Deonna Andrews
- Annalice LLC
- Shannon Lee Jett Berry
- Kattia Blanco
- Blessed at Home LLC
- Mary Hyacinth Bodenheimer
- Ronnie-Jane Boekema
- Allison Bootz
All providers in Bushnell, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.