Kayla Blomstedt

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

115888 Issued in NE

Practice address

1915 N Webb Rd Ste a
Grand Island, NE 68803-3504

Phone

(308) 390-2663

Fax

(308) 365-1315

NPI assigned

Feb 25, 2025

Last updated

Jun 4, 2026By 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 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Island Mental Health LLCGroup PAC ID 1153734629, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grand Island Mental Health LLC

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1306289194
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1699572099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S LOCUST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N WEBB RD STE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033504",
            "telephone_number": "308-390-2663",
            "fax_number": "308-365-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMSTEDT",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Margaret Blake
• Savannah Marie Blanke, RDH
• Samantha Lee Blase
• Allison Blauhorn-Cooper, M.S. CCC-SLP
• Shelley Ann Blodgett
• Alexis Bloomfield, PLMHP
• Blossoming Hope Counseling and Support Services LLC
• Anita M Blum, SLP
• Chelsie Blunt
• Angela Boersen

• Nurse Practitioner in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.