Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY MICHELLE BLUM APRN, AGCNS
NPI 1376952457
Clinical Nurse Specialist - Adult Health in Marble Falls, TX

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment
1706 HIGHWAY 1431, MARBLE FALLS, TX 78654(512) 834-4141 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Nov 24, 2025, Mar 15, 2017 (3 updates tracked since 2017).

About Kimberly Michelle Blum Aprn, Agcns NPPES

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

KIMBERLY MICHELLE BLUM APRN, AGCNS (NPI 1376952457) is an individual adult health provider in Marble Falls, Texas, licensed in Texas (AP126079) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376952457
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameKIMBERLY MICHELLE BLUMCredential: APRN, AGCNS
Location Address1706 HIGHWAY 1431Marble Falls, TX 78654-4954
Mailing Address7951 Shoal Creek Blvd Ste 300Austin, TX 78757-7582 · (512) 584-8404 · Fax (512) 467-7247
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2014
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1376952457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in TX · AP126079
1706 HIGHWAY 1431, Marble Falls, TX 78654

Secondary Practice Locations 2

Location 15200 Davis Ln Bldg B200Austin, TX 78749-4069 · Phone (512) 834-4141
Location 2500 W Whitestone Blvd Ste 250Cedar Park, TX 78613-2271 · Phone (512) 834-4141

Other Identifiers 1

Medicaid339976801TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Michelle Blum Aprn, Agcns 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 ID4486876232
PECOS Enrollment IDI20141111000172
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 Kimberly Blum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
8015 SHOAL CREEK BLVD STE 103
Austin, TX 78757
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
Pain Medicine
5200 DAVIS LN SUITE B200
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2315 W BEN WHITE BLVD
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
378 services119 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.
50 services42 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Kimberly Blum's NPI number?

The NPI number for Kimberly Blum is 1376952457. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Kimberly Blum located?

Kimberly Blum practices at 1706 Highway 1431, Marble Falls, TX 78654. The listed phone number is (512) 834-4141.

What is Kimberly Blum's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Kimberly Blum enrolled in Medicare?

Yes. Kimberly Blum 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.

Which organizations bill Medicare for Kimberly Blum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Blum reassigns Medicare benefits to 3 organizations: Capitol Pain Institute, PA (Austin, TX), Matthew F Mccarty MD PLLC (Austin, TX) and Pain Care Physicians, PA (Austin, TX). 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 Kimberly Blum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Blum accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Kimberly Blum 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.

When was this NPI record last updated?

The NPPES record for Kimberly Blum was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.