Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508384736 Individual Practitioner Female Practitioner

Kelly Renee Black

Physician Assistant • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Black is a certified Physician Assistant practicing in Clearwater, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Kelly Black delivers high-quality medical care to the local community at 430 MORTON PLANT ST STE 301.

Kelly Black is affiliated with Synergic Healthcare Solutions Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test for influenza virus, a or b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 Morton Plant St Ste 301

Clearwater, FL 337563395

Telephone 8139789700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clearwater, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
118 Specialists

Practicing in Clearwater, FL (10376 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (4 Years) 4 Yrs
Clearwater Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
39 39 $355.64 $75.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
38 38 $481.84 $92.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
29 29 $681.03 $139.41
87400 Detection test for Influenza virus, A or B
24 12 $117.00 $13.85
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
23 13 $35.00 $6.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 19 $470.00 $106.03
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
15 15 $150.00 $34.62
81002 Urinalysis, manual test
14 13 $75.00 $3.41

Medical Specialties & State Licenses

CMS Verified: 2026-05-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
116670800 (FL)

Hospital & Practice Group Affiliations

Synergic Healthcare Solutions Llc

3251 66th St N, St Petersburg, FL 337101510

Phone: 8139251903

Synergic Healthcare Solutions Llc

7601 Seminole Blvd, Seminole, FL 337724868

Phone: 8139251903

Synergic Healthcare Solutions Llc

4949 4th St N, St Petersburg, FL 337033800

Phone: 8139251903

Synergic Healthcare Solutions Llc

11406 Us Hwy 301 S, Riverview, FL 335786170

Phone: 8139251903

Synergic Healthcare Solutions Llc

5464 Lithia Pinecrest Rd, Lithia, FL 335472853

Phone: 8139251903

Synergic Healthcare Solutions Llc

3301 W Gandy Blvd, Tampa, FL 336112931

Synergic Healthcare Solutions Llc

16521 S Us Hwy 301, Wimauma, FL 335982032

Phone: 8139281903

Synergic Healthcare Solutions Llc

3301 W Gandy Blvd, Tampa, FL 336112931

Phone: 8139251903

Synergic Healthcare Solutions Llc

303 W Palm Ave, Tampa, FL 336022027

Phone: 8139251903

Secondary Practice Locations

3301 W Gandy Blvd

Tampa, FL 336112931

Phone: 8139251903

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Karen Greene

Registered Nurse - Orthopedic

NPI 1003009341
Catherine Doyle

Orthopaedic Surgery

NPI 1003445081
Joshua Wagner , PTA

Physical Therapy Assistant

NPI 1003504945

Physical Therapist Assistant

Shane Anderson , PA-C

Physician Assistant

NPI 1003509100

Physician Assistant (Certified)

Breanna Alewine , PTA

Physical Therapy Assistant

NPI 1003616889

Physical Therapist Assistant

Nicole Bryson , PTA

Physical Therapy Assistant

NPI 1003624818

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 20, 2024

Registered at 430 MORTON PLANT ST STE 301, CLEARWATER, FL 337563395 (Tel: 8139789700)

📍
Updated Business Mailing Address March 20, 2024

Registered at 13020 N TELECOM PKWY, TEMPLE TERRACE, FL 336370915 (Tel: 8139789700)

📍
Updated Business Mailing Address October 26, 2023

Registered at 13837 CIRCA CROSSING DR, LITHIA, FL 335474382 (Tel: 8136842663)

📍
Updated Practice Location September 06, 2022

Registered at 13837 CIRCA CROSSING DR, LITHIA, FL 335474382 (Tel: 8136842663)

📍
Updated Business Mailing Address September 06, 2022

Registered at 7218 SAMUEL IVY DR, TAMPA, FL 336196964 (Tel: 7177561494)

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2017

Registered at 503 NORTH CHESTNUT STREET, PALMYRA, PA 17078 (Tel: 7177561494)

📍
Updated Business Mailing Address September 08, 2017

Registered at 503 N CHESTNUT ST, PALMYRA, PA 170781105 (Tel: 7177561494)

👤
Provider Name / Credentials Updated September 08, 2017

Recorded as KELLY BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration September 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508384736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2017
Last Update: May 18, 2026
Sole Proprietor: Yes

Mailing Address

13020 N Telecom Pkwy

Temple Terrace, FL 336370915

Phone: 8139789700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.