JERRY M BLOOMSTEIN MD
NPI 1356475594
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauwatosa, WI
About Jerry M Bloomstein Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY M BLOOMSTEIN MD (NPI 1356475594) is an individual child & adolescent psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (28817) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerry M Bloomstein Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Bloomstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Jerry Bloomstein's NPI number?
The NPI number for Jerry Bloomstein is 1356475594. It was assigned to this individual provider in the NPPES registry on March 16, 2007.
Where is Jerry Bloomstein located?
Jerry Bloomstein practices at 1220 Dewey Ave Bldg 2, Wauwatosa, WI 53213. The listed phone number is (414) 454-6500.
What is Jerry Bloomstein's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Jerry Bloomstein enrolled in Medicare?
Yes. Jerry Bloomstein 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.
Which organization bills Medicare for Jerry Bloomstein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Bloomstein reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Jerry Bloomstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Bloomstein accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Jerry Bloomstein 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 Jerry Bloomstein was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jerry M Bloomstein, MD · NPI 1356475594
Child & Adolescent Psychiatry physician in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1356475594 (Entity type: Individual)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 28817 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 DEWEY AVE, BLDG 2, Wauwatosa, WI 53213-2504
- **Phone:** (414) 454-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** November 23, 2021
- **Other identifiers:** Medicaid 31465900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1356475594) · Data from the CMS NPPES public registry.