THERESA BLOOM CPNP-PC
NPI 1396611406
Nurse Practitioner - Pediatrics in Augusta, ME
About Theresa Bloom Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BLOOM CPNP-PC (NPI 1396611406) is an individual pediatrics provider in Augusta, Maine, licensed in Maine (CNP261085) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Bloom Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Theresa Bloom's NPI number?
The NPI number for Theresa Bloom is 1396611406. It was assigned to this individual provider in the NPPES registry on October 15, 2025.
Where is Theresa Bloom located?
Theresa Bloom practices at 6 E Chestnut St Ste 310, Augusta, ME 04330. The listed phone number is (207) 623-2977.
What is Theresa Bloom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Theresa Bloom enrolled in Medicare?
Yes. Theresa Bloom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Bloom reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). 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 Theresa Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Bloom was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Theresa Bloom, CPNP-PC · NPI 1396611406
Pediatrics physician in Augusta, Maine. Individual provider, active in the CMS NPPES registry since October 15, 2025.
## Identity
- **NPI:** 1396611406 (Entity type: Individual)
- **Enumerated:** October 15, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** CNP261085 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 E CHESTNUT ST STE 310, Augusta, ME 04330-5760
- **Phone:** (207) 623-2977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainegeneral Medical Center (NPI 1083949184, Augusta, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396611406) · Data from the CMS NPPES public registry.