STACY D BLUM (MD) – Family Medicine Physician, NPI 1174530976

STACY D BLUM (MD) is a healthcare provider. based in Nebraska city, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 22314 (NE). The NPI Number for STACY D BLUM (MD) is 1174530976

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
STACY D BLUM (MD)
NPI
1174530976
Phone
(402) 873-4242
Address
1700 14th Ave
Enumeration Date
2 August 2006
Last Update Date
16 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4028734242
Graduation Year
2000 (26 years ago)
PAC ID
8527073022
Group Practice PAC ID
7113831926
Professional Enrollment ID
I20060220000203
Address ID
NE684103320NE1301XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

954 FAMILY PRACTICE in NE

Provider Addresses for STACY D BLUM (MD)

  • 1700 14th Ave

    Nebraska City, NE 684101146

    Phone: (402) 873-4242

    Fax: (402) 873-4227

    Type: Location

  • 1301 GRUNDMAN BLVD STE A

    NEBRASKA CITY, NE 684103320

    Phone: (402) 873-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $2,208.

Total Amount is formed as General ($2,208) + Research ($0) + Ownership ($0) = $2,208.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($467).

Total Amount

$2,208

General + Research + Ownership

Payments

126

Total payment records

General Amount

$2,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2006-02-20

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
I20060220000203IFamily PracticeNETBD

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 68410)

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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: 7113831926View full group profile
NameSpecialtyState
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
Hospitalist, Internal MedicineNE
Family PracticeNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is STACY D BLUM (MD)'s NPI number?
STACY D BLUM (MD)'s NPI is 1174530976 — the number used across U.S. healthcare to identify this provider.
Is there an active status for STACY D BLUM (MD)?
For scheduling context, STACY D BLUM (MD) is shown as active in the registry.
What expertise is attributed to STACY D BLUM (MD)?
STACY D BLUM (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is STACY D BLUM (MD) associated with Nebraska City?
Public fields place STACY D BLUM (MD) around Nebraska City, Nebraska. Always confirm the exact site before visiting.
Does STACY D BLUM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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