Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306539440 Individual Practitioner Female Practitioner

Kylee Black

Physician Assistant • Fort Myers, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kylee Black is a certified Physician Assistant practicing in Fort Myers, FL. With approximately 3 years of clinical experience since completing medical education in 2023, Kylee Black delivers high-quality medical care to the local community at 9800 S HEALTHPARK DR STE 110.

Kylee Black is affiliated with Lee Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9800 S Healthpark Dr Ste 110

Fort Myers, FL 339083630

Telephone 2393436202
Fax 2393434159
Associated Practice Facility / Clinic
🏢 Lee Memorial Health System Facility NPI 1770165920

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Myers, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
392 Specialists

Practicing in Fort Myers, FL (10376 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (3 Years) 3 Yrs
Fort Myers Specialty Average (10.1 Years) 10.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 24 $214.42 $85.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $345.00 $115.62

Medical Specialties & State Licenses

CMS Verified: 2023-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9117571

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.

Physician Assistant

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
118592000 (FL)

Hospital & Practice Group Affiliations

Lee Health System Inc

1682 Ne Pine Island Rd, Cape Coral, FL 339091756

Phone: 2394241600

Lee Health System Inc

1138 Country Club Blvd, Cape Coral, FL 339903027

Phone: 2394241900

Lee Health System Inc

4771 S Cleveland Ave, Fort Myers, FL 339071317

Phone: 2393439800

Lee Health System Inc

4751 S Cleveland Ave, Fort Myers, FL 339071317

Phone: 2393439888

Lee Health System Inc

9800 S Healthpark Dr, Fort Myers, FL 339083630

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Dmitry Mysh , MD

Internal Medicine - Gastroenterology

NPI 1033105903

Doctor of Medicine (M.D.)

Maikel Perez Carrodeguas

Nurse Practitioner - Family

NPI 1033836929
Dr. Robert Janda , MD

Internal Medicine - Gastroenterology

NPI 1053426031

Doctor of Medicine (M.D.)

Monica Holbert , FNP-C

Nurse Practitioner - Family

NPI 1053707448

Family Nurse Practitioner (Certified)

Vanessa Weir , PA-C

Physician Assistant

NPI 1063159374

Physician Assistant (Certified)

Dr. Ashwani Sethi , MD

Internal Medicine - Gastroenterology

NPI 1073560900

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 14, 2023

Registered at 9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 339083630 (Tel: 2393436202)

NPI Profile Active June 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2023

Registered at 9800 S HEALTHPARK DR, FORT MYERS, FL 339087603 (Tel: 2393435000)

📍
Updated Business Mailing Address June 02, 2023

Registered at 4957 13K ST NW, GARRISON, ND 585409629 (Tel: 7017209348)

👤
Provider Name / Credentials Updated June 02, 2023

Recorded as KYLEE BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 02, 2023

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: 1306539440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2023
Last Update: July 14, 2023
Sole Proprietor: Yes

Mailing Address

4957 13k St Nw

Garrison, ND 585409629

Phone: 7017209348

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.