Mandy Rae Blume, MS RN CGNP
NPI 1134378433ActiveIndividual· Nurse Practitioner, Gerontology· Faribault, MN
Nurse Practitioner, Gerontology (MS RN CGNP) with US Health Dept of Health and Human Services, practicing in Faribault, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner. Lists Frances Mahon Deaconess Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1134378433 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS RN CGNP |
| Sole proprietor | No |
| NPI issued | Sep 11, 2008 |
| Last updated in NPPES | Dec 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | R156724-1 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- US Health Dept of Health and Human ServicesBrowning, MT · 94 clinicians
Hospital affiliations
- Frances Mahon Deaconess HospitalGlasgow, MT
- Poplar Community HospitalPoplar, MT
- Trinity HospitalWolf Point, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records