LISA ANN BLUM
NPI 1053047209
Nurse Practitioner in Mcallen, TX

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
6913 N 40TH ST, MCALLEN, TX 78504(956) 534-1471 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Ann Blum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN BLUM (NPI 1053047209) is an individual nurse practitioner in Mcallen, Texas, licensed in Texas (1084712) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053047209
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA ANN BLUM
Location Address6913 N 40TH STMcallen, TX 78504-5400
Mailing Address6913 N 40th StMcallen, TX 78504-5400 · (956) 534-1471
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
NPI 1053047209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1084712
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1084712 (TX)
6913 N 40TH ST, Mcallen, TX 78504

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Ann Blum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638116213
PECOS Enrollment IDI20250521003832
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053047209, enumerated as an "individual" on July 29, 2022.

The provider is located at 6913 N 40TH ST MCALLEN, TX 78504 and the phone number is (956) 534-1471.

Nurse Practitioner with taxonomy code 363L00000X.