Individual provider Active NPI

Destinee Bertia Blei, AGNP-C

  • Adult Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1346734324
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9362187 Issued in FL
Practice address
1847 Florida Ave
Panama City, FL 32405
Phone
(850) 914-8600
NPI assigned
Jun 21, 2018
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9362187 FL Primary

Addresses

Primary practice location

1847 Florida Ave
Panama City, FL 32405

Mailing address

1847 Florida Ave
Panama City, FL 32405-4640
Phone (850) 914-8600

Other practice location 1

3230B E 15th St
Panama City, FL 32405
Phone (850) 763-4700

Other practice location 2

1222 7th Street
Southport, FL 32409
Phone (850) 774-9535

Other practice location 3

3230B E 15th St
Panama City, FL 32405
Phone (850) 763-4700

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9362187OtherFLMEDICAL LICENSE

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
I20190110001451 FL Practitioner - Nurse Practitioner 9032455126 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kenny Chantasi DO PLLCGroup PAC ID 0840718912, 4 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Primary Care Center of Lynn HavenGroup PAC ID 1456456227, 3 clinicians

Practice addresses (Care Compare)

1847 Florida Ave
Panama City, FL 32405-4640
Phone (850) 914-8600

6012 Magnolia Beach Rd
Panama City, FL 32408-7065
Phone (850) 230-1802

615 Florida Ave
Lynn Haven, FL 32444-1737
Phone (850) 640-1416

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511

825 Florida Ave
Lynn Haven, FL 32444-2335
Phone (850) 265-3686

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9362187FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W. Hennigan, P.a. CurrentSince Oct 1, 2019 Accepting new patients
Kenny Chantasi DO PLLC CurrentSince Jul 1, 2025 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Sep 1, 2022 Accepting new patients
Primary Care Center of Lynn Haven CurrentSince Apr 10, 2024 Accepting new patients
Blei Group LLC CurrentSince Apr 10, 2024 Accepting new patients
Keith M Banton MD PA CurrentSince Aug 14, 2018 Accepting new patients
Primary Care Center, P.a. Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

825 Florida Ave
Lynn Haven, FL 32444
Phone (850) 265-3686

1847 Florida Ave
Panama City, FL 32405
Phone (850) 914-8600

1937 Harrison Ave
Panama City, FL 32405
Phone (850) 763-4700

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15666/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEEAED/Endpoint/HEEAED

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1346734324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 FLORIDA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054640",
            "telephone_number": "850-914-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 FLORIDA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-914-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230B E 15th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32405",
            "country_code": "US",
            "telephone_number": "850-763-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 7th Street",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "FL",
            "postal_code": "32409",
            "country_code": "US",
            "telephone_number": "850-774-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230B E 15th St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32405",
            "country_code": "US",
            "telephone_number": "850-763-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEI",
        "first_name": "DESTINEE",
        "middle_name": "BERTIA",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9362187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9362187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.