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: November 01, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blake Nutt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
4641 OLD CANOE CREEK RD
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Assisted Living Facility
225 SUNNYSIDE DR
LEESBURG, FL 34748
Nurse Practitioner (Family)
225 SUNNYSIDE DR
LEESBURG, FL 34748

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.

Which organizations bill Medicare for Blake Nutt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Nutt reassigns Medicare benefits to 2 organizations: Altea Medical Florida PLLC (Saint Cloud, FL) and Post Acute Medical PLLC (Lanham, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Nutt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blake Nutt was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.