MELODY BLUM (APRN, FNP-C) – Family Nurse Practitioner, NPI 1083178347

MELODY BLUM (APRN, FNP-C) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. AP60954816 (WA). The NPI Number for MELODY BLUM (APRN, FNP-C) is 1083178347

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MELODY BLUM (APRN, FNP-C)
NPI
1083178347
Phone
(904) 610-5005
Address
5117 MARLENE AVE
Enumeration Date
30 January 2019
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722575785
Graduation Year
2018 (8 years ago)
PAC ID
3375872708
Group Practice PAC ID
5496641169
Professional Enrollment ID
I20230301000040
Address ID
FL329606541VE981XXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MELODY BLUM (APRN, FNP-C)

  • 5117, Marlene Avenue, Biltmore, Jacksonville, Duval County, Florida, 32210, United States

    JACKSONVILLE, FL 322101649

    Phone: (904) 610-5005

    Type: Mailing

  • 840 37th Pl Ste B

    Vero Beach, FL 329606502

    Phone: (877) 345-9342

    Fax: (772) 925-8199

    Type: Location

  • 725 N US Highway 1

    Fort Pierce, FL 349509125

    Phone: (772) 468-9900

    Fax: (772) 468-2364

    Type: Location

  • PO BOX 473

    TOKELAND, WA 985900473

    Phone: (904) 610-5005

    Type: Mailing

  • 2373 OLD TOKELAND ROAD

    TOKELAND, WA 98590

    Phone: (904) 610-5005

    Type: Location

  • 981 37TH PL

    VERO BEACH, FL 329606541

    Phone: (772) 257-5785

    Fax: (772) 257-5325

    Type: Location

  • 827 18TH ST

    VERO BEACH, FL 329606481

    Phone: (772) 925-8200

    Fax: (772) 925-8199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $660.

Total Amount is formed as General ($660) + Research ($0) + Ownership ($0) = $660.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($270).

Total Amount

$660

General + Research + Ownership

Payments

27

Total payment records

General Amount

$660

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230301000040INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample2927$0
View full utilization report →

Insurance plans in this area (ZIP 32210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496641169View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Physician AssistantFL
Internal MedicineFL
Internal Medicine, Infectious DiseaseFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Is MELODY BLUM (APRN, FNP-C) listed with a National Provider Identifier?
Yes — MELODY BLUM (APRN, FNP-C) has NPI 1083178347 on file in the registry.
Active or inactive — what applies to MELODY BLUM (APRN, FNP-C)?
You should see MELODY BLUM (APRN, FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MELODY BLUM (APRN, FNP-C)?
MELODY BLUM (APRN, FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MELODY BLUM (APRN, FNP-C)?
Travel planning: use Jacksonville, Florida as the reference point for MELODY BLUM (APRN, FNP-C), then confirm.
When was this NPI issued?
Enumeration for MELODY BLUM (APRN, FNP-C) is noted as January 30, 2019 where the registry provides it.

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