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

Kenneth Bliss

Individual provider Nurse Practitioner · NPI 1952077117

Kenneth Bliss is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2021, 5 years ago. Practices with Precision Healthcare Specialists, LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21260 Olean Blvd Ste 202A
Port Charlotte, FL 33952-6742
Phone: (941) 625-1550
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11012755 (FL)

Record details

NPI number1952077117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address12387 Sagewood Dr, Venice, FL 34293-0327

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Precision Healthcare Specialists, Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Charlotte