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JACOB BLUM MD
NPI 1720047137
Family Medicine in Fernandina Beach, FL

Active since March 23, 2006PECOS Enrolled
1888 S 14TH ST, CREDENTIALING DEPARTMENT, FERNANDINA BEACH, FL 32034(904) 261-0922(904) 277-8872 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2018, Nov 16, 2015 (2 updates tracked since 2015).

About Jacob Blum Md NPPES

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

JACOB BLUM MD (NPI 1720047137) is an individual family medicine provider in Fernandina Beach, Florida, licensed in Florida (ME60766) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720047137
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB BLUMCredential: MD
Location Address1888 S 14TH ST, CREDENTIALING DEPARTMENTFernandina Beach, FL 32034-3054
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 261-0922
Fax(904) 277-8872
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 31, 20182 updates tracked since enumeration
✔ NPI 1720047137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME60766✔ Licensed in KY · 28306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1888 S 14TH ST, Fernandina Beach, FL 32034
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Other Identifiers 1

OtherP01374253FL · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Blum Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA R TWIGGS M.D.
Family Medicine
1888 S 14TH ST, CREDENTIALING DEPARTMENT
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
DIANA R TWIGGS MD
Family Medicine
1888 S 14TH ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
JACQUELYN J WICKER APRN
Nurse Practitioner
1888 S 14TH ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922

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 Jacob Blum's NPI number?

The NPI number for Jacob Blum is 1720047137. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Jacob Blum located?

Jacob Blum practices at 1888 S 14th St Credentialing Department, Fernandina Beach, FL 32034. The listed phone number is (904) 261-0922.

What is Jacob Blum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Blum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Blum was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.