OLIVIA ROSE BLUME (PA-C) – Physician Assistant, NPI 1245552074

OLIVIA ROSE BLUME (PA-C) is a healthcare provider. based in Coeur d alene, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61659218 (WA). The NPI Number for OLIVIA ROSE BLUME (PA-C) is 1245552074

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA ROSE BLUME (PA-C)
NPI
1245552074
Phone
(520) 999-1598
Address
1296 E HOFFMAN AVE
Enumeration Date
21 February 2010
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086618635
Graduation Year
2009 (17 years ago)
PAC ID
4688809213
Group Practice PAC ID
4981028503
Professional Enrollment ID
I20250730003034
Address ID
ID838546218PO52XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:16State licenses:3Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for OLIVIA ROSE BLUME (PA-C)

  • 1296 E HOFFMAN AVE

    COEUR D ALENE, ID 838157324

    Phone: (520) 999-1598

    Type: Mailing

  • 2426 N MERRITT CREEK LOOP STE A

    COEUR D ALENE, ID 838144961

    Phone: (208) 819-2183

    Fax: (208) 209-6063

    Type: Location

  • 2550, North Thunderbird Circle, Thunderbird Executive Plaza, Mesa, Maricopa County, Arizona, 85215, United States

    MESA, AZ 852151214

    Phone: (520) 694-6110

    Type: Location

  • 13423, North Regulation Drive, Oro Valley, Pima County, Arizona, 85755, United States

    ORO VALLEY, AZ 857556876

    Phone: (520) 293-6862

    Fax: (520) 887-0160

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($413).

Total Amount

$413

General + Research + Ownership

Payments

20

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$413
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: 2025-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20131106001363IPhysician AssistantAZTBD
I20250730003034IPhysician AssistantIDTBD
I20250916002826IPhysician AssistantWATBD

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
99203New patient office or other outpatient visit, 30-44 minutes3838$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
81003Automated urinalysis test1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 83815)

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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: 4981028503View full group profile
NameSpecialtyState
Nurse PractitionerID
Family PracticeID
Nurse PractitionerWA
Emergency Medicine, Hospitalist, Family PracticeID
Internal MedicineID
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantID
-ID
Nurse PractitionerID

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for OLIVIA ROSE BLUME (PA-C)?
The registry entry for OLIVIA ROSE BLUME (PA-C) shows NPI 1245552074.
Should I treat OLIVIA ROSE BLUME (PA-C) as an active provider?
Patients and plans typically see OLIVIA ROSE BLUME (PA-C) as active in the national extract.
What type of care does OLIVIA ROSE BLUME (PA-C) provide?
OLIVIA ROSE BLUME (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to OLIVIA ROSE BLUME (PA-C)?
OLIVIA ROSE BLUME (PA-C) shows a connection to Coeur D Alene, Idaho in registry-derived data.
Why is information missing for OLIVIA ROSE BLUME (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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