KELLY JEAN BLUM NP
NPI 1346192788
Nurse Practitioner - Family in Commack, NY

Q: What is Kelly Blum's NPI number?

The NPI number for Kelly Blum is 1346192788. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Q: What is Kelly Blum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Blum was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 February 10, 2026PECOS Enrolled

650 COMMACK RD, COMMACK, NY 11725(631) 636-0590 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Jean Blum Np NPPES

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

KELLY JEAN BLUM NP (NPI 1346192788) is an individual family provider in Commack, New York, licensed in New York (358991) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346192788

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY JEAN BLUMCredential: NP

Location Address650 COMMACK RDCommack, NY 11725-5404

Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-2000

Phone(631) 636-0590

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1346192788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 358991

650 COMMACK RD, Commack, NY 11725

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jean Blum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183194418

PECOS Enrollment IDI20260528002151

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 11725 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MRS. LAURA JEAN KELLY RD, CSO, CDN

Dietitian, Registered