MR. BOBBY R BLUM ANP-C
NPI 1235403643
Nurse Practitioner - Adult Health in Greenville, IL

Q: What is Bobby Blum's NPI number?

The NPI number for Bobby Blum is 1235403643. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Q: What is Bobby Blum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Bobby Blum was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 02, 2012PECOS Enrolled

200 HEALTH CARE DR, GREENVILLE, IL 62246(618) 664-1230 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Bobby R Blum Anp-c NPPES

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

MR. BOBBY R BLUM ANP-C (NPI 1235403643) is an individual adult health provider in Greenville, Illinois, licensed in Illinois (209010152) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1235403643

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. BOBBY R BLUMCredential: ANP-C

Location Address200 HEALTH CARE DRGreenville, IL 62246-1154

Mailing Address4550 Memorial Dr, Ste. 340Belleville, IL 62226-5372 · (618) 257-6200 · Fax (618) 257-6679

Phone(618) 664-1230

Sole ProprietorNo

Enumeration DateMarch 2, 2012

Last NPPES UpdateMay 10, 2019

✔ NPI 1235403643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209010152

200 HEALTH CARE DR, Greenville, IL 62246

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Secondary Practice Location 1

Location 14550 Memorial Dr, Ste. 340Belleville, IL 62226-5372 · Phone (618) 257-6200 · Fax (618) 257-6679

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bobby R Blum Anp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62246 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER ENGELE

Nurse Practitioner (Family)