Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Blum, PA-C

Individual provider Physician Assistant · NPI 1972977973

Kimberly Blum, PA-C is a Physician Assistant in Port St Lucie, Florida. Qualified in 2015, 11 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1651 SE Tiffany Ave
Port St Lucie, FL 34952-7564
Phone: (772) 223-4978
Fax: (772) 398-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9109154 (FL)

Record details

NPI number1972977973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2015
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Port St Lucie