KRIS M BLY DO - NPI 1497700223 - General Practice in Orange City, FL

Q: What is Kris Bly's NPI number?

The NPI number for Kris Bly is 1497700223. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Kris Bly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kris Bly was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kris M Bly Do NPPES

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

KRIS M BLY DO (NPI 1497700223) is an individual general practice provider in Orange City, Florida, licensed in Florida (OS10451) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1992).

NPPES Registry Identity

NPI1497700223

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameKRIS M BLYCredential: DO

Location Address2777 ENTERPRISE RDOrange City, FL 32763-8310

Mailing Address2777 Enterprise RdOrange City, FL 32763-8310 · (386) 774-2550 · Fax (386) 774-5667

Phone(386) 774-2550

Fax(386) 774-5667

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1992

Enumeration DateMay 23, 2006

Last NPPES UpdateMarch 27, 20265 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1497700223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · OS10451

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License OS10451 (FL)

2777 ENTERPRISE RD, Orange City, FL 32763

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Secondary Practice Locations 2

Location 14260 Park Blvd NPinellas Park, FL 33781-3645 · Phone (727) 371-8483 · Fax (727) 344-8690

Location 2222 S Peninsula DrDaytona Beach, FL 32118-4422 · Phone (386) 310-2160

Other Identifiers 4

Other02001471BIN · Csr

Other17085FL · Bcbsfl

Other02001471AIN · Indiana License

Other0S10451FL · Florida Licence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.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

Kris M Bly Do 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 ID6002956547

PECOS Enrollment IDI20091215000168

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.

Other Providers at the Same Location NPPES 13

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

AARAN MICHAEL SANDERS PHARMD

Pharmacist