SHARI BLOOM PA-C
NPI 1053564179
Physician Assistant in Park City, UT

Q: What is Shari Bloom's NPI number?

The NPI number for Shari Bloom is 1053564179. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Q: What is Shari Bloom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shari Bloom was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 03, 2008PECOS Enrolled

1665 BONANZA DR, PARK CITY, UT 84060(435) 649-7640(435) 649-1365 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shari Bloom Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARI BLOOM PA-C (NPI 1053564179) is an individual physician assistant in Park City, Utah and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053564179

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHARI BLOOMCredential: PA-C

Location Address1665 BONANZA DRPark City, UT 84060-5127

Mailing AddressPo Box 27128Salk Lake City, UT 84127-0128 · (801) 491-6482

Phone(435) 649-7640

Fax(435) 649-1365

Sole ProprietorNo

Enumeration DateNovember 3, 2008

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1053564179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License MT0903117 (UT)

1665 BONANZA DR, Park City, UT 84060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shari Bloom Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH FERRITER

Family Medicine