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

Mrs. Mandy Rae Blume, MSRNCGNP

Individual provider Gerontology Nurse Practitioner · NPI 1134378433

Mrs. Mandy Rae Blume, MSRNCGNP is a Nurse Practitioner in Faribault, Minnesota. Qualified in 2008, 18 years ago. Practices with U S Health Dept of Health and Human Services, a 98-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008

Practice location Address checks out

4810 197th St E
Faribault, MN 55021-8078
Phone: (507) 333-2748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R156724-1 (MN)

Record details

NPI number1134378433
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRNCGNP
Sole proprietorNo
NPI enumeratedSeptember 11, 2008
Last updated in NPPESDecember 2, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice U S Health Dept Of Health And Human Services — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Faribault