Active NPI
Destinee Bertia Blei, AGNP-C
- Adult Health Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9362187
- Practice address
- 1847 Florida Ave
Panama City, FL 32405 - Phone
- (850) 914-8600
- NPI assigned
- Jun 21, 2018
- Last updated
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9362187 | Other | FL | MEDICAL 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
Enrollment records 1
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
- Powerback Rehabilitation LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9362187 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael W. Hennigan, P.a. | Current | Accepting new patients | |
| Kenny Chantasi DO PLLC | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Current | Accepting new patients | |
| Primary Care Center of Lynn Haven | Current | Accepting new patients | |
| Blei Group LLC | Current | Accepting new patients | |
| Keith M Banton MD PA | Current | 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
- https://api.platform.athenahealth.com/15666/brand/1/csg/1/fhir/r4
- 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.
-
- Medical Specialty Clinic/Center
- Lynn Haven, FL
- NPI 1881469559
-
dba PrimeCell Regenerative
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Orlando, FL
- NPI 1316740483
-
- Internal Medicine Physician
- Lynn Haven, FL
- NPI 1700803624
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1205614336
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
-
- Family Medicine Physician
- Panama City, FL
- NPI 1891887600
-
- Specialist
- Panama City, FL
- NPI 1134391857
-
dba Primary Care Center
- Internal Medicine Physician
- Lynn Haven, FL
- NPI 1306803556
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Panama City, FL
- NPI 1083648950
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba SunCrest OMNI
- Home Health Agency
- Lynn Haven, FL
- NPI 1861486615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.