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HEATHER LYNN BLUME NP-C
NPI 1346592078
Nurse Practitioner - Adult Health in Cleveland, OH

Active since October 04, 2012PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVE, MP 1702, CLEVELAND, OH 44106(216) 844-5310 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Heather Lynn Blume Np-c NPPES

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

HEATHER LYNN BLUME NP-C (NPI 1346592078) is an individual adult health provider in Cleveland, Ohio, licensed in Ohio (COA.13492-NP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346592078
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHEATHER LYNN BLUMECredential: NP-C
Location Address11100 EUCLID AVE, MP 1702Cleveland, OH 44106-1716
Mailing Address11100 Euclid Ave, Mp 1702Cleveland, OH 44106-1716 · (216) 844-5310
Phone(216) 844-5310
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 4, 2012
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1346592078 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 OH · COA.13492-NP
11100 EUCLID AVE, Cleveland, OH 44106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Lynn Blume Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517280571
PECOS Enrollment IDI20141223001062
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services53 patients
Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264
Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.
48 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 Heather Blume's NPI number?

The NPI number for Heather Blume is 1346592078. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Heather Blume located?

Heather Blume practices at 11100 Euclid Ave Mp 1702, Cleveland, OH 44106. The listed phone number is (216) 844-5310.

What is Heather Blume's specialty?

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

Is Heather Blume enrolled in Medicare?

Yes. Heather Blume is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Blume accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Heather Blume 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.

Is Heather Blume affiliated with any hospitals?

According to CMS data, Heather Blume is affiliated with Uh St John Medical Center, Uh Cleveland Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Blume was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.