Michele Renee Blum, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1017419 Issued in TX

Practice address

3591 McKinney St Ste 400a
Melissa, TX 75454-9571

Phone

(729) 464-1611

NPI assigned

Oct 22, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.blum.1@27433.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Urgent Care, PA

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1568622272
  Medicare reassignment NPD
• Quick Care Clinics, LLC

  dba Frisco Quick Care

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1154913572
  Medicare reassignment NPD
• Total MD Physicians Group, PLLC

  dba Total Behavioral Health

  • Family Medicine Physician
  • Austin, TX
  • NPI 1982031852
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1053910877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST STE 400A",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "729-464-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST STE 400A",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "729-464-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bierle
• Twillia Marie Birks
• Kolbee Leann Blackmon, M.S., CCC-SLP
• Jennifer Blaylock, NP
• Blessed Hands Senior Home Care LLC (Blessed hands senior Home care)
• Boal LLC
• James Asuma Bogonko
• Joseph Borowski
• Jenifer L Branson, PA
• Brownes Assistance Care LLC Limited (Brownes Assistance Care)

• Family Nurse Practitioner in Melissa, TX
• Providers in Melissa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.