Kelly Blocker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029942 Issued in FL

Practice address

1950 SW 18TH CT Ste 101
Ocala, FL 34471-7857

Phone

(352) 861-8555

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Roath Former name

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

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thimmiah Kumar MD PAGroup PAC ID 0749295137, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Thimmiah Kumar MD PA

  • Gastroenterology Physician
  • Ocala, FL
  • NPI 1881794097
  Medicare reassignment Care Compare group NPD
• Mid-Florida Endoscopy & Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Ocala, FL
  • NPI 1417190935
  NPD (past)

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1598534729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NE 142ND AVE",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344884119",
            "telephone_number": "352-361-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SW 18TH CT STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717857",
            "telephone_number": "352-861-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCKER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ROATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Ruth Blewitt, RN, MS, APRN
• Debra Blish, CRNAP
• Blissful Healings Massage, LLC
• Frances Ann Blitch, ED.S, M.ED, NCC
• Malori Christine Blocher, APRN FNP-C
• Blood and Cancer Center, PA
• Blossom and Thrive Counseling and Coaching Inc.
• Blossom Homecare Service LLC
• Dalphine Latanjua Blount
• Isiah Blount

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.