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BLAKE NUTT APRN, FNP-C
NPI 1285443150
Nurse Practitioner - Family in Leesburg, FL

Active since January 04, 2025PECOS EnrolledAccepts Medicare Assignment
225 SUNNYSIDE DR, LEESBURG, FL 34748(352) 551-6221 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2025, Jan 4, 2025 (2 updates tracked since 2025).

About Blake Nutt Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE NUTT APRN, FNP-C (NPI 1285443150) is an individual family provider in Leesburg, Florida, licensed in Florida (11037113) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285443150
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBLAKE NUTTCredential: APRN, FNP-C
Location Address225 SUNNYSIDE DRLeesburg, FL 34748-6171
Mailing Address2177 Beardsley DrApopka, FL 32703-1672 · (352) 551-6221
Phone(352) 551-6221
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 4, 2025
Last NPPES UpdateMay 26, 20252 updates tracked since enumeration
NPPES CertifiedMay 26, 2025
✔ NPI 1285443150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11037113
Also ListedRegistered NurseTaxonomy 163W00000X · License 9595680 (FL)
225 SUNNYSIDE DR, Leesburg, FL 34748
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Nutt Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072035195
PECOS Enrollment IDI20250521000930
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIREE A KALAROVICH RN
Assisted Living Facility
225 SUNNYSIDE DR
LEESBURG, FL 34748
Lake County (352) 551-8401
LEVEL-UP APRN, PLLC
Nurse Practitioner (Family)
225 SUNNYSIDE DR
LEESBURG, FL 34748
Lake County (352) 551-6221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Nutt's NPI number?

The NPI number for Blake Nutt is 1285443150. It was assigned to this individual provider in the NPPES registry on January 4, 2025.

Where is Blake Nutt located?

Blake Nutt practices at 225 Sunnyside Dr, Leesburg, FL 34748. The listed phone number is (352) 551-6221.

What is Blake Nutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blake Nutt enrolled in Medicare?

Yes. Blake Nutt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Blake Nutt was last updated on May 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.