Melinda Marie Blom, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104374 Issued in FL

Practice address

12953 Palms West Dr
Suite 201
Loxahatchee, FL 33470-4990

Phone

(561) 795-5130

Fax

(561) 795-4160

NPI assigned

Oct 12, 2007

Last updated

Feb 1, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: melinda.blom@hca4.eclinicaldirectplus.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.

• Palm Beach General Surgery LLC

  • Surgery Physician
  • Loxahatchee, FL
  • NPI 1235326760
  Medicare reassignment Care Compare group NPD
• Daniel a Picard MD PA

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1235349531
  NPD (past)
• Palm Beach General Surgery LLC

  • Surgery Physician
  • Atlantis, FL
  • NPI 1710040266
  NPD (past)

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

• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1255529442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704990",
            "telephone_number": "561-795-5130",
            "fax_number": "561-795-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704990",
            "telephone_number": "561-795-5130",
            "fax_number": "561-795-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "MELINDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MELINDA.BLOM@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12953 Palms West Dr",
            "address_2": "SUITE 201",
            "city": "Loxahatchee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334704990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bind Healthcare
• Ryan Bishop, L.AC., LMT
• Shalene P Blake-Dennis, CRNA
• Martha Blake, RPH
• Dorothy Blank, D.P.M.
• Robert Matthew Blount
• Adriana E Boyd, PTA
• Robin Braver, MD
• Rocio Brescia, APRN
• Mariliz D. Britton, ARNP

• Physician Assistant in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.