MR. BLAKELY AUSTIN DEBOARD
NPI 1720623499
Nurse Anesthetist, Certified Registered in St Petersburg, FL
About Mr. Blakely Austin Deboard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BLAKELY AUSTIN DEBOARD (NPI 1720623499) is an individual nurse anesthetist, certified registered in St Petersburg, Florida, licensed in Florida (APRN11005487) and active in the NPI registry since November 2019. He is affiliated with St Josephs Hospital and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Blakely Austin Deboard 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.
Medicare Billing Reassignments
8Medicare enrollment records show Blakely Deboard reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 1,287 clinicians in this Medicare group
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 24 clinicians in this Medicare group
Clearwater, FL 33759
- Reassigned Medicare billing, Florida enrollment
- 2,009 clinicians in this Medicare group
Bradenton, FL 34209
- Reassigned Medicare billing, Florida enrollment
- 792 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 33 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Orange Park, FL 32003
- Reassigned Medicare billing, Florida enrollment
- 876 clinicians in this Medicare group
Melville, NY 11747
- Reassigned Medicare billing, Florida enrollment
- 628 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST PETERSBURG, FL 33709
ST PETERSBURG, FL 33709
ST PETERSBURG, FL 33709
ST PETERSBURG, FL 33709
ST PETERSBURG, FL 33709
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 Blakely Deboard's NPI number?
The NPI number for Blakely Deboard is 1720623499. It was assigned to this individual provider in the NPPES registry on November 16, 2019.
Where is Blakely Deboard located?
Blakely Deboard practices at 6000 49th St N, St Petersburg, FL 33709. The listed phone number is (727) 521-4411.
What is Blakely Deboard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blakely Deboard enrolled in Medicare?
Yes. Blakely Deboard 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 Blakely Deboard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blakely Deboard reassigns Medicare benefits to 8 organizations: Gulf-To-Bay Anesthesiology Associates LLC (St Petersburg, FL), Digestive Anesthesia Associates LLC (St Petersburg, FL), Baycare Medical Group, Inc. (Clearwater, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL), Capital Anesthesia Solutions Of Florida, LLC (Bradenton, FL) and 3 more organizations, listed in the Medicare section above. 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 Blakely Deboard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blakely Deboard accept?
Health plans from Oscar Health Maintenance Organization of Florida list Blakely Deboard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Blakely Deboard affiliated with any hospitals?
According to CMS data, Blakely Deboard is affiliated with St Josephs Hospital.
When was this NPI record last updated?
The NPPES record for Blakely Deboard was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mr. Blakely Austin Deboard · NPI 1720623499
Nurse Anesthetist, Certified Registered physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since November 16, 2019.
## Identity
- **NPI:** 1720623499 (Entity type: Individual)
- **Enumerated:** November 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN11005487 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6000 49TH ST N, St Petersburg, FL 33709-2114
- **Phone:** (727) 521-4411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Gulf-To-Bay Anesthesiology Associates LLC (NPI 1962760983, St Petersburg, FL); Digestive Anesthesia Associates LLC (NPI 1003259433, St Petersburg, FL); Baycare Medical Group, Inc. (NPI 1043269871, Clearwater, FL); Sunshine State Anesthesia Partners LLC (NPI 1437757127, Bradenton, FL); Capital Anesthesia Solutions Of Florida, LLC (NPI 1750940532, Bradenton, FL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720623499) · Data from the CMS NPPES public registry.