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

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: October 25, 2026.

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, maintains a secondary practice location in Uniondale, 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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Secondary Practice Location 1

Location 11101 Hempstead TpkeUniondale, NY 11553-1112 · Phone (516) 969-8315

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Blum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mskcc Regional Network
Same address
Medical Oncology
650 COMMACK RD
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 265 clinicians in this Medicare group
NPI 1740251297 (631) 623-4000
Msk Nassau
17 mi
Medical Oncology
1101 HEMPSTEAD TURNPIKE
Uniondale, NY 11553
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1053875229 (212) 639-2000
Mskcc Surgery Group
35 mi
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 clinicians in this Medicare group
NPI 1699766261 (646) 227-3813

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 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
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
MRS. KERI JEAN WAGNER N.P.
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
JANICE SHEN
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4258
STEVEN M SUGARMAN MD
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (646) 227-3813
HONG YUN RPH
Pharmacist
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4106
DR. AVNI M DESAI M.D.
Internal Medicine
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000
STUART M LICHTMAN MD
Internal Medicine (Medical Oncology)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (646) 227-3813
EILEEN JACKSON NP
Nurse Practitioner (Family)
650 COMMACK RD
COMMACK, NY 11725
Suffolk County (631) 623-4000

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 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.

Where is Kelly Blum located?

Kelly Blum practices at 650 Commack Rd, Commack, NY 11725. The listed phone number is (631) 636-0590.

What is Kelly Blum's specialty?

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

Is Kelly Blum enrolled in Medicare?

Yes. Kelly Blum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Blum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Blum reassigns Medicare benefits to 3 organizations: Mskcc Regional Network (Commack, NY), Msk Nassau (Uniondale, NY) and Mskcc Surgery Group (New York, NY). Each 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 Kelly Blum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.