BLOOM HEALTH & WELLNESS LLC
NPI 1497621288
Family Medicine in Mitchell, IN
About Bloom Health & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM HEALTH & WELLNESS LLC (NPI 1497621288) is a healthcare organization registered as a family medicine in Mitchell, Indiana and active in the NPI registry since October 2025. The organization holds a CLIA Microscopy certificate valid through February 9, 2028 and lists Stephanie Frye, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bloom Health & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bloom Health & Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D2338376
Bloom Health & Wellness · Mitchell, INFrequently 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 Bloom Health & Wellness LLC's NPI number?
The NPI number for Bloom Health & Wellness LLC is 1497621288. It was assigned to this organization in the NPPES registry on October 16, 2025.
Where is Bloom Health & Wellness LLC located?
Bloom Health & Wellness LLC is located at 815 W Main St, Mitchell, IN 47446. The listed phone number is (812) 583-4273.
What is Bloom Health & Wellness LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bloom Health & Wellness LLC enrolled in Medicare?
Yes. Bloom Health & Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Health & Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bloom Health & Wellness LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bloom Health & Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2338376) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bloom Health & Wellness LLC accept?
Health plans from CareSource list Bloom Health & Wellness LLC 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 Bloom Health & Wellness LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bloom Health & Wellness Llc · NPI 1497621288
Family Medicine organization in Mitchell, Indiana. Organization record, active in the CMS NPPES registry since October 16, 2025.
## Identity
- **NPI:** 1497621288 (Entity type: Organization)
- **Enumerated:** October 16, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Stephanie Frye, OWNER
## Practice location
- **Address:** 815 W MAIN ST, Mitchell, IN 47446-1307
- **Phone:** (812) 583-4273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497621288) · Data from the CMS NPPES public registry.