KYLEE BLACK
NPI 1306539440
Physician Assistant in Fort Myers, FL

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 33908(239) 343-6202(239) 343-4159 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Kylee Black NPPES

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

KYLEE BLACK (NPI 1306539440) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9117571) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306539440
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLEE BLACK
Location Address9800 S HEALTHPARK DR STE 110Fort Myers, FL 33908-3630
Mailing Address4957 13k St NwGarrison, ND 58540-9629 · (701) 720-9348
Fax(239) 343-4159
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 2, 2023
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1306539440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9117571
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9800 S HEALTHPARK DR STE 110, Fort Myers, FL 33908

Other Names 1

Former Name (1)Kylee Altendorf

Other Identifiers 1

Medicaid118592000FL

Accepted Insurance

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

Kylee Black 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 ID3173982618
PECOS Enrollment IDI20230630003041
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Ophthalmology
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Clinic/Center (Federally Qualified Health Center (FQHC))
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Internal Medicine (Gastroenterology)
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Nurse Practitioner (Family)
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Internal Medicine (Gastroenterology)
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Nurse Practitioner (Family)
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908
Nurse Practitioner (Family)
9800 S HEALTHPARK DR STE 110
FORT MYERS, FL 33908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306539440, enumerated as an "individual" on June 02, 2023.

The provider is located at 9800 S HEALTHPARK DR STE 110 FORT MYERS, FL 33908 and the phone number is (239) 343-6202.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Kylee Black is affiliated with: LEE MEMORIAL HOSPITAL, GULF COAST MEDICAL CENTER LEE HEALTH and CAPE CORAL HOSPITAL.