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

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: July 19, 2026.

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
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

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services21 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services14 patients

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.

Specialist
200 HEALTH CARE DR, STE 1501
GREENVILLE, IL 62246
Nurse Anesthetist, Certified Registered
200 HEALTH CARE DR
GREENVILLE, IL 62246
Specialist/Technologist (Athletic Trainer)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Specialist
200 HEALTH CARE DR
GREENVILLE, IL 62246
Podiatrist (Foot & Ankle Surgery)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Family Medicine
200 HEALTH CARE DR
GREENVILLE, IL 62246
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246
Social Worker (Clinical)
200 HEALTH CARE DR
GREENVILLE, IL 62246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235403643, enumerated as an "individual" on March 02, 2012.

The provider is located at 200 HEALTH CARE DR GREENVILLE, IL 62246 and the phone number is (618) 664-1230.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.