IAISA SHIKEMA BLOOM APRN
NPI 1326635970
Nurse Practitioner - Family in Boynton Beach, FL

Q: What is Iaisa Bloom's NPI number?

The NPI number for Iaisa Bloom is 1326635970. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Q: What is Iaisa Bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Iaisa Bloom was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 30, 2020PECOS Enrolled

10301 HAGEN RANCH RD STE B6, BOYNTON BEACH, FL 33437(561) 752-9490(561) 752-9491 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2023, Dec 30, 2020 (2 updates tracked since 2020).

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About Iaisa Shikema Bloom Aprn NPPES

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

IAISA SHIKEMA BLOOM APRN (NPI 1326635970) is an individual family provider in Boynton Beach, Florida, licensed in Florida (APRN11010245) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326635970

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIAISA SHIKEMA BLOOMCredential: APRN

Location Address10301 HAGEN RANCH RD STE B6Boynton Beach, FL 33437-3723

Mailing Address3501 Nw 212th StMiami Gardens, FL 33056-1019 · (305) 785-7259

Phone(561) 752-9490

Fax(561) 752-9491

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 30, 2020

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1326635970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11010245

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License ARPN11010245 (FL)

10301 HAGEN RANCH RD STE B6, Boynton Beach, FL 33437

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Secondary Practice Locations 3

Location 13501 NW 212th StMiami Gardens, FL 33056-1019 · Phone (305) 785-7259

Location 21065 NE 125th St Ste 206North Miami, FL 33161-5832 · Phone (305) 891-0050 · Fax (305) 891-4228

Location 37481 W Oakland Park Blvd Ste 100Tamarac, FL 33319-4985 · Phone (954) 771-7743 · Fax (954) 771-7748

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iaisa Shikema Bloom Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325401300

PECOS Enrollment IDI20260312001807

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.

Medicare Billing Reassignments

Medicare enrollment records show Iaisa Bloom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA

52 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Arizona and Florida enrollments
532 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Fams4099

104 mi

Specialist

4099 TAMIAMI TRL N STE 403
Naples, FL 34103

Reassigned Medicare billing, Florida enrollment
13 clinicians in this Medicare group

NPI 1689436404 (803) 622-6737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.

28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 12

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

LANETTE BURGESS LCSW

Social Worker (Clinical)