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

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
2777 ENTERPRISE RD, ORANGE CITY, FL 32763(386) 774-2550(386) 774-5667 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, Oct 12, 2023, May 24, 2023 and 2 more (5 updates tracked since 2020).

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, is affiliated with Adventhealth Fish Memorial, and maintains 2 additional practice locations.

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
Open in Google Maps ↗

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

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kris Bly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Professionals PA
9.7 mi
Emergency Medicine
701 W PLYMOUTH AVE
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
NPI 1205880853 (386) 734-3220
Florida Health Care Plan, Inc
24 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021
Grht
120 mi
Clinic/Center
5050 GULF BLVD STE B
St Pete Beach, FL 33706
  • Reassigned Medicare billing, Florida enrollment
NPI 1669315461 (727) 755-8483

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

Hospital Affiliations CMS Care Compare

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

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

AARAN MICHAEL SANDERS PHARMD
Pharmacist
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-5961
DR. KEVIN SAMUEL ROHAN OGLE DMD
Dentist (General Practice)
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 481-6886
GEETA SAHGAL M.D.
Internal Medicine
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-2550
GREGORY E MCCARTHY MD.
Internal Medicine
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-2550
LORI SUE RAY RPH
Pharmacist
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-5962
RACHEL LOVE QUARBERG M.D.
Family Medicine
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-2550
FLORIDA HEALTH CARE PLAN, INC.
Pharmacy (Managed Care Organization Pharmacy)
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-5961
FLORIDA HEALTH CARE PLAN, INC
Clinic/Center (Ambulatory Surgical)
2777 ENTERPRISE RD
ORANGE CITY, FL 32763
Volusia County (386) 774-2550

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 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.

Where is Kris Bly located?

Kris Bly practices at 2777 Enterprise Rd, Orange City, FL 32763. The listed phone number is (386) 774-2550.

What is Kris Bly's specialty?

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

Is Kris Bly enrolled in Medicare?

Yes. Kris Bly 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 Kris Bly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kris Bly reassigns Medicare benefits to 3 organizations: Emergency Medicine Professionals PA (Deland, FL), Florida Health Care Plan, Inc (Daytona Beach, FL) and Grht (St Pete Beach, FL). 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 Kris Bly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kris Bly affiliated with any hospitals?

According to CMS data, Kris Bly is affiliated with Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Kris Bly was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.