LISA ANN BLUM
NPI 1053047209
Nurse Practitioner in Mcallen, TX
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.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Ann Blum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Blum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mcallen, TX 78504
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Blum's NPI number?
The NPI number for Lisa Blum is 1053047209. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Lisa Blum located?
Lisa Blum practices at 6913 N 40th St, Mcallen, TX 78504. The listed phone number is (956) 534-1471.
What is Lisa Blum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Lisa Blum enrolled in Medicare?
Yes. Lisa Blum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Blum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Blum reassigns Medicare benefits to Praise Wellness And Telehealth Clinic LLC (Mcallen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Blum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Blum accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lisa Blum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lisa Blum was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Ann Blum · NPI 1053047209
Nurse Practitioner physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1053047209 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1084712 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6913 N 40TH ST, Mcallen, TX 78504-5400
- **Phone:** (956) 534-1471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Praise Wellness And Telehealth Clinic LLC (NPI 1497603195, Mcallen, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053047209) · Data from the CMS NPPES public registry.