MRS. BRIANA MARIE BLUM (PA-C) – Physician Assistant, NPI 1588998561

MRS. BRIANA MARIE BLUM (PA-C) is a healthcare provider. based in Jackson, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005648 (MI). The NPI Number for MRS. BRIANA MARIE BLUM (PA-C) is 1588998561

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRIANA MARIE BLUM (PA-C)
NPI
1588998561
Phone
(517) 205-4800
Address
205 N EAST AVE
Enumeration Date
24 September 2009
Last Update Date
6 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177873577
Graduation Year
2009 (17 years ago)
PAC ID
4082754429
Group Practice PAC ID
0042545535
Professional Enrollment ID
I20091216000412
Address ID
MI492012462JA205XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. BRIANA MARIE BLUM (PA-C)

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (517) 205-4800

    Fax: (313) 876-1305

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Fax: (313) 876-1305

    Type: Mailing

  • 37000 Grand River Ave

    Farmington, MI 48335

    Phone: (248) 536-2127

    Type: Location

  • 37000, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48335, United States

    FARMINGTON, MI 48335

    Phone: (248) 536-2127

    Type: Location

  • 7676 FOX TRACE RD

    DEXTER, MI 481308603

    Phone: (248) 830-3968

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $412.

Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($115).

Total Amount

$412

General + Research + Ownership

Payments

21

Total payment records

General Amount

$412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2009-12-16

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
I20091216000412IPhysician AssistantMITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3938$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 0042545535View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Internal MedicineMI
Endocrinology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Interventional CardiologyMI
Nurse PractitionerMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology), Internal MedicineLA

Reviews

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Frequently asked questions

Does MRS. BRIANA MARIE BLUM (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. BRIANA MARIE BLUM (PA-C) uses 1588998561.
Is MRS. BRIANA MARIE BLUM (PA-C) still practicing?
MRS. BRIANA MARIE BLUM (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. BRIANA MARIE BLUM (PA-C)?
For research purposes, treat MRS. BRIANA MARIE BLUM (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. BRIANA MARIE BLUM (PA-C) serve?
MRS. BRIANA MARIE BLUM (PA-C)'s listing highlights Jackson, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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