NICHOLAS BLIEU (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073369070

NICHOLAS BLIEU (ARNP) is a healthcare provider. based in Davenport, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. G178992 (IA). The NPI Number for NICHOLAS BLIEU (ARNP) is 1073369070

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS BLIEU (ARNP)
NPI
1073369070
Phone
Not provided
Address
2702 N MAIN ST
Enumeration Date
29 April 2024
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633225276
Graduation Year
2024 (2 years ago)
PAC ID
4587108774
Group Practice PAC ID
6103715214
Professional Enrollment ID
I20240628001285
Address ID
IA528035000DA808XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for NICHOLAS BLIEU (ARNP)

  • 2702 N MAIN ST

    DAVENPORT, IA 528031512

    Phone:

    Type: Mailing

  • 1441 W CENTRAL PARK AVE

    DAVENPORT, IA 528041707

    Phone: (563) 383-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($63).

Total Amount

$115

General + Research + Ownership

Payments

4

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2024-06-28

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
I20240628001285INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52803)

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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: 6103715214View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Clinical Social WorkerIA
Nurse PractitionerIA
Nurse PractitionerIA
Clinical Social WorkerIA
-IA
Clinical Social WorkerIA
Mental Health CounselorMA
Nurse PractitionerIL
Clinical Social WorkerIA

Reviews

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Frequently asked questions

Can I verify NICHOLAS BLIEU (ARNP) with an NPI only?
You can start verification with NPI 1073369070 for NICHOLAS BLIEU (ARNP), then check state licensing separately.
Does the file indicate NICHOLAS BLIEU (ARNP) is practicing under active NPI?
Directory data currently reports NICHOLAS BLIEU (ARNP) as active.
What taxonomy line describes NICHOLAS BLIEU (ARNP)?
For research purposes, treat NICHOLAS BLIEU (ARNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS BLIEU (ARNP) based?
NICHOLAS BLIEU (ARNP) is tied to Davenport, Iowa in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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