Justin C Blumreich, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95009002 Issued in CA

Practice address

2107 Airpark Dr
Redding, CA 96001-2433

Phone

(530) 241-1111

Fax

(530) 241-4870

NPI assigned

May 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redding Dermatology Medical Group IncGroup PAC ID 2567549504, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.15 of 100Reported as group

Quality

96.26

Improvement activities

40

Cost

72.16

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jblumreich@directaddress.net

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.

• Redding Dermatology Medical Group, Inc.

  • Dermatology Physician
  • Redding, CA
  • NPI 1275561151
  Medicare reassignment Care Compare group NPD
• Redding Dermatology Medical Group, Inc.

  • Dermatology Physician
  • Medford, OR
  • NPI 1336979046
  NPD

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1578974010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-241-1111",
            "fax_number": "530-241-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 SW 28th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666142321",
            "country_code": "US",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMREICH",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76450",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jean Blessing
• Heather Bletcher, CFM
• Joshua Mark Bloom, M.S., CF-SLP
• Lindsay Louise Bloom, DNP, FNP, APRN, PHN
• Blue Sky Behavioral Services Inc.
• Lauren Blunt, AMFT
• Savannah Boatwright
• Vidya S Bobba, M.D.
• Janet Lynn Boehle, RN
• Natalia Boero

• Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.