Individual provider Active NPI

Haley Blum, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1073233938
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2875 Issued in NE
Practice address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone
(402) 484-4900
Fax
(402) 484-6456
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2875 NE Primary

Addresses

Primary practice location

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548

Mailing address

308 E D St
Elmwood, NE 68349-6048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address haley.blum@neb.ikm.direct-ci.com Health Information Exchange (HIE) Nebraska Hematology-Oncology, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20230208000107 NE Practitioner - Physician Assistant 6406228089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgery Associates LLCGroup PAC ID 5092741330, 12 clinicians
Nebraska Hematology-Oncology PCGroup PAC ID 9638083330, 19 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.75 of 100Reported as group
Quality
61.33
Improvement activities
40
Cost
74.06

Merit-based Incentive Payment System (MIPS)

Final score
50.18 of 100Reported as group
Quality
8.93
Promoting interoperability
98
Improvement activities
0
Cost
76.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Hematology-Oncology P.C. CurrentSince Dec 24, 2025 Accepting new patients
Nebraska Hematology-Oncology, PC CurrentSince Dec 24, 2025 Accepting new patients
Gastroenterology Specialties, P.C. Past Accepting new patients

Locations

4004 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

4001 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: haley.blum.1@8817.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1073233938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E D ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683496048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haley.blum@neb.ikm.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Nebraska Hematology-Oncology, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4004 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.