MARGARET CLAIRE BLOOM DNP, AG-ACNP
NPI 1275141822
Nurse Practitioner in Madison, WI

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 262-5420 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2021, Oct 6, 2020, Jul 20, 2020 (3 updates tracked since 2020).

About Margaret Claire Bloom Dnp, Ag-acnp NPPES

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

MARGARET CLAIRE BLOOM DNP, AG-ACNP (NPI 1275141822) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (10375-33) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1275141822
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARGARET CLAIRE BLOOMCredential: DNP, AG-ACNP
Location Address600 HIGHLAND AVEMadison, WI 53792-3807
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020
Enumeration DateJuly 20, 2020
Last NPPES UpdateJanuary 13, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
NPI 1275141822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 10375-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 226705-30 (WI)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 10375-33 (WI)
600 HIGHLAND AVE, Madison, WI 53792

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Margaret Claire Bloom Dnp, Ag-acnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092134593
PECOS Enrollment IDI20201002000735
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
218 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
119 services51 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
78 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 20

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

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 Margaret Bloom's NPI number?

The NPI number for Margaret Bloom is 1275141822. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Margaret Bloom located?

Margaret Bloom practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 262-5420.

What is Margaret Bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Margaret Bloom enrolled in Medicare?

Yes. Margaret Bloom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margaret Bloom accept?

Health plans from Group Health Cooperative-SCW list Margaret Bloom 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.

Is Margaret Bloom affiliated with any hospitals?

According to CMS data, Margaret Bloom is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Margaret Bloom was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.