Blakely Deboard
NPI 1720623499 · Certified Registered Nurse Anesthetist · St Petersburg, FL
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blakely Deboard is a Certified Registered Nurse Anesthetist provider in St Petersburg, FL (NPI 1720623499).
Provider details
- NPI number
- 1720623499
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9444134 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-16
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Frequently asked questions
- What is Blakely Deboard's NPI number?
- Blakely Deboard's National Provider Identifier (NPI) is 1720623499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blakely Deboard's specialty?
- Blakely Deboard is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blakely Deboard located?
- Blakely Deboard's practice location on file with NPPES is 6000 49th St N, St Petersburg, FL 33709-2114.
- What is Blakely Deboard's phone number?
- The practice phone number listed in the NPPES registry for Blakely Deboard is (727) 521-4411.
- Does Blakely Deboard accept Medicare?
- Blakely Deboard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blakely Deboard's NPI active?
- Yes — Blakely Deboard's NPI (1720623499) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.