BLOOMFIELD MEDICAL CLINIC, PC
NPI 1003091497
Physician Assistant - Medical in Bloomfield, NE
About Bloomfield Medical Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOMFIELD MEDICAL CLINIC, PC (NPI 1003091497) is a healthcare organization registered as a medical in Bloomfield, Nebraska and active in the NPI registry since January 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2028 and lists Kevin D Lauck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bloomfield Medical Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bloomfield Medical Clinic, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 28D0455576
Bloomfield Medical Clinic PC · Bloomfield, NEMedical Equipment Supplier Medicare DMEPOS 8
Medicare supplier enrollment and the product categories Bloomfield Pharmacy carries, from the Medicare DMEPOS supplier directory.
Bloomfield Pharmacy
DMEPOS supplier · Bloomfield, NEOperated by Nagengast Pharmacies IncAccepts Medicare assignment
Bloomfield Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bloomfield Medical Clinic, PC's NPI number?
The NPI number for Bloomfield Medical Clinic, PC is 1003091497. It was assigned to this organization in the NPPES registry on January 3, 2008.
Where is Bloomfield Medical Clinic, PC located?
Bloomfield Medical Clinic, PC is located at 105 S Broadway Avenue, Bloomfield, NE 68718. The listed phone number is (402) 373-4341.
What is Bloomfield Medical Clinic, PC's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Bloomfield Medical Clinic, PC enrolled in Medicare?
Yes. Bloomfield Medical Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloomfield Medical Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bloomfield Medical Clinic, PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bloomfield Medical Clinic, PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Bloomfield Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Bloomfield Medical Clinic, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 28D0455576) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bloomfield Medical Clinic, PC accept?
Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska and Medica list Bloomfield Medical Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bloomfield Medical Clinic, PC was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bloomfield Medical Clinic, Pc · NPI 1003091497
Medical organization in Bloomfield, Nebraska. Organization record, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1003091497 (Entity type: Organization)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Organization subpart:** No
- **Authorized official:** Kevin Lauck, PRESIDENT
## Practice location
- **Address:** 105 S BROADWAY AVENUE, Bloomfield, NE 68718-0357
- **Phone:** (402) 373-4341 · **Fax:** (402) 373-4344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2010
- **Other identifiers:** Medicare PIN DO0210 (NE); Medicare UPIN S27626 (NE); Medicare UPIN Q14026 (NE); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003091497) · Data from the CMS NPPES public registry.