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MARY JO BLOOMINGER PA
NPI 1174503726
Physician Assistant in Rock Island, IL

Active since January 19, 2006PECOS Enrolled
2550 24TH ST, ROCK ISLAND, IL 61201(309) 793-4223(309) 793-6276 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jo Bloominger Pa NPPES

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

MARY JO BLOOMINGER PA (NPI 1174503726) is an individual physician assistant in Rock Island, Illinois and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174503726
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY JO BLOOMINGERCredential: PA
Location Address2550 24TH STRock Island, IL 61201-5304
Mailing Address2550 24th StRock Island, IL 61201-5304 · (309) 793-4223 · Fax (309) 793-6276
Phone(309) 793-4223
Fax(309) 793-6276
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateDecember 28, 2007
✔ NPI 1174503726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2550 24TH ST, Rock Island, IL 61201
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Other Identifiers 3

Medicare PINK45159IL
Other90720IA · Blue Shield
Medicare UPINS58238IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jo Bloominger Pa 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 61201 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

DAVID L GANNON M.D.
Family Medicine
2550 24TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 793-4223
RIVER VALLEY FAMILY PRACTICE LTD
Family Medicine
2550 24TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 793-4223

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 Mary Jo Bloominger's NPI number?

The NPI number for Mary Jo Bloominger is 1174503726. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Mary Jo Bloominger located?

Mary Jo Bloominger practices at 2550 24th St, Rock Island, IL 61201. The listed phone number is (309) 793-4223.

What is Mary Jo Bloominger's specialty?

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

Is Mary Jo Bloominger enrolled in Medicare?

Yes. Mary Jo Bloominger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jo Bloominger was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.