Breanna Blackledge, - Medicare Nurse Practitioner in Palm Coast, FL

Breanna Blackledge, is a medicare enrolled "Nurse Practitioner" in Palm Coast, Florida. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 61 Memorial Medical Pkwy Ste 2811, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 586-1955.

Breanna Blackledge is licensed to practice in Florida (license number APRN11044029) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1770434524.

Contact Information

Breanna Blackledge,
61 Memorial Medical Pkwy Ste 2811,
Palm Coast, FL 32164-5999
(386) 586-1955
(386) 586-1959

Map and Direction




Provider's Profile

Full NameBreanna Blackledge
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location61 Memorial Medical Pkwy Ste 2811, Palm Coast, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Breanna Blackledge graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1770434524
  • Provider Enumeration Date: 02/06/2026
  • Last Update Date: 07/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8426526369
  • Enrollment ID: I20260508000893

Medical Identifiers

Medical identifiers for Breanna Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770434524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11044029 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Blackledge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breanna Blackledge,
770 W Granada Blvd Ste 101,
Ormond Beach, FL 32174-5179

Ph: (386) 231-4519
Breanna Blackledge,
61 Memorial Medical Pkwy Ste 2811,
Palm Coast, FL 32164-5999

Ph: (386) 586-1955

Reviews and Comments


Nurse Practitioner Nurses in Palm Coast, FL

Matthew Jurdak,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 27 Waverly Ln, Palm Coast, FL 32164
Phone: 718-608-5614    
Traci Lee Smith, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 160 Cypress Point Pkwy Ste D102, Palm Coast, FL 32164
Phone: 386-230-4448    
Jennifer A Schroeder, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164
Phone: 386-586-1860    Fax: 386-586-1861
Cynthia Michelle Baxter, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 381 Palm Coast Pkwy Sw Unit 2, Palm Coast, FL 32137
Phone: 386-232-8089    
Vivian Del Carmen Medina, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137
Phone: 407-299-7333    
Jennifer Marie Agosto, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164
Phone: 305-588-0373    
Amanda Vera, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164
Phone: 386-586-1810    Fax: 386-586-1811

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.