Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jo Bleakley, PA-C

Individual provider Physician Assistant · NPI 1124676580

Kelly Jo Bleakley, PA-C is a Physician Assistant in Vero Beach, Florida. Qualified in 2019, 7 years ago. Practices with Indian River Health Services Inc, a 332-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and New York.

Years since qualifying
7
Licensed in
FL, GA, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3450 11th Ct Ste 105
Vero Beach, FL 32960-5012
Phone: (772) 778-3680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117749 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9269 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 025755 (NY)

Record details

NPI number1124676580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Indian River Health Services Inc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Indian River Health Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 332 clinicians in the practice; 12 are shown here.

Other providers in Vero Beach