NINA BLOMBERG (NP) – Nurse Practitioner, NPI 1063820033

NINA BLOMBERG (NP) is a healthcare provider. based in Sterling heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704211831 (MI). The NPI Number for NINA BLOMBERG (NP) is 1063820033

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NINA BLOMBERG (NP)
NPI
1063820033
Phone
(586) 731-6777
Address
44344 DEQUINDRE RD STE 560
Enumeration Date
23 July 2014
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489645000
Graduation Year
2014 (12 years ago)
PAC ID
2769601269
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20140916000644
Address ID
MI480851117TR44201RDXX353

Contacts

Secure Messaging
ngasperoni6642@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for NINA BLOMBERG (NP)

  • 44344 DEQUINDRE RD STE 560

    STERLING HEIGHTS, MI 483141043

    Phone: (586) 731-6777

    Fax: (248) 731-0299

    Type: Location

  • 750 STEPHENSON HWY

    TROY, MI 480831103

    Phone: (248) 577-4995

    Fax: (248) 577-3526

    Type: Mailing

  • 44201 DEQUINDRE RD

    TROY, MI 480851117

    Phone: (248) 964-5000

    Type: Location

  • 27901 Woodward Ave Ste 300

    Berkley, MI 480720921

    Phone: (248) 545-0070

    Type: Location

  • 44201 Dequindre Rd

    Troy, MI 480851117

    Phone: (248) 964-5000

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 27901 WOODWARD AVE STE 300

    BERKLEY, MI 480720921

    Phone: (248) 545-0070

    Fax: (248) 545-4850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Amgen Inc. ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$48
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: 2014-09-16

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
I20140916000644INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes286253$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes193133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only138134$0
99213Established patient office or other outpatient visit, 20-29 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 48314)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What identifier follows NINA BLOMBERG (NP) across health systems?
The NPI 1063820033 uniquely identifies NINA BLOMBERG (NP) in U.S. healthcare data.
Is NINA BLOMBERG (NP)'s NPI status active today?
Active status means NINA BLOMBERG (NP)'s NPI record is not deactivated in the public file.
How should patients interpret NINA BLOMBERG (NP)'s specialty?
The extract shows Nurse Practitioner for NINA BLOMBERG (NP). Clinical services aligned with this taxonomy classification.
Which community is linked to NINA BLOMBERG (NP)?
NINA BLOMBERG (NP) shows a connection to Sterling Heights, Michigan in registry-derived data.
Why is information missing for NINA BLOMBERG (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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