ELIZABETH M BLOOMFIELD PA
NPI 1710134408
Physician Assistant in Fort Worth, TX

Active since August 25, 2008PECOS Enrolled
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2900(817) 735-2902 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth M Bloomfield Pa NPPES

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

ELIZABETH M BLOOMFIELD PA (NPI 1710134408) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA02115) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710134408
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH M BLOOMFIELDCredential: PA
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335 · (817) 735-2900 · Fax (817) 735-2902
Fax(817) 735-2902
Sole ProprietorNo
Enumeration DateAugust 25, 2008
Last NPPES UpdateDecember 18, 2014
NPI 1710134408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA02115 Licensed in ME · PA605
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
855 MONTGOMERY ST, Fort Worth, TX 76107

Other Names 1

Former Name (1)Elizabeth M Hulsey Pa

Other Identifiers 4

Medicare PIN8L2378TX
Medicaid196967701TX
OtherP00680238TX · Railroad Medicare
Other8Y8715TX · Bcbs

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 (PECOS)

Elizabeth M Bloomfield Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 20

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

Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107

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 Elizabeth Bloomfield's NPI number?

The NPI number for Elizabeth Bloomfield is 1710134408. It was assigned to this individual provider in the NPPES registry on August 25, 2008. The provider is also known as Elizabeth M Hulsey PA.

Where is Elizabeth Bloomfield located?

Elizabeth Bloomfield practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2900.

What is Elizabeth Bloomfield's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizabeth Bloomfield enrolled in Medicare?

Yes. Elizabeth Bloomfield is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Bloomfield accept?

Health plans from Moda Health Plan, Inc. list Elizabeth Bloomfield 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 Elizabeth Bloomfield was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.