Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770434524 Individual Practitioner Female Practitioner

Breanna Blackledge

Nurse Practitioner • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Breanna Blackledge is a certified Nurse Practitioner practicing in Palm Coast, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Breanna Blackledge delivers high-quality medical care to the local community at 61 MEMORIAL MEDICAL PKWY STE 2811.

Breanna Blackledge does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

61 Memorial Medical Pkwy Ste 2811

Palm Coast, FL 321645999

Telephone 3865861955
Fax 3865861959
Associated Practice Facility / Clinic
🏢 Memorial Health Systems Inc Facility NPI 1275640997

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Palm Coast, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.5 yrs vs City Avg
City Avg: 7.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Palm Coast, FL (8990 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackledge (1 Years) 1 Yrs
Palm Coast Specialty Average (7.5 Years) 7.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11044029

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1023615507

Physician Assistant (Certified)

Dr. Brett Sasseen , MD

Internal Medicine - Interventional Cardiology

NPI 1194728360

Doctor of Medicine (M.D.)

Dr. Julie Philip , DNP, AG-ACNP

Nurse Practitioner - Gerontology

NPI 1386195964

Doctor of Nursing Practice, Adult-Gerontology Acute Care Nurse Practitioner

Ashley Gilmore , FNP-C

Nurse Practitioner - Family

NPI 1457011835

Family Nurse Practitioner (Certified)

Dr. Dean Abtahi , MD

Internal Medicine - Cardiovascular Disease

NPI 1720307853

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 Business Mailing Address July 02, 2026

Registered at 770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 321745179 (Tel: 3862314519)

NPI Profile Active February 06, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2026

Registered at 61 MEMORIAL MEDICAL PKWY STE 2811, PALM COAST, FL 321645999 (Tel: 3865861955)

📍
Updated Business Mailing Address February 06, 2026

Registered at 61 MEMORIAL MEDICAL PKWY STE 2811, PALM COAST, FL 321645999 (Tel: 3865861955)

👤
Provider Name / Credentials Updated February 06, 2026

Recorded as BREANNA BLACKLEDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Nurse Practitioner (License #APRN11044029 in FL)

🟢
Initial NPI Registration & Enumeration February 06, 2026

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: 1770434524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2026
Last Update: July 02, 2026
Sole Proprietor: Yes

Mailing Address

770 W Granada Blvd Ste 101

Ormond Beach, FL 321745179

Phone: 3862314519

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.