BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC
NPI 1801548177
Nurse Practitioner - Family in New Hartford, NY

Active since January 19, 2022
1 OXFORD XING STE 3, NEW HARTFORD, NY 13413(315) 662-0162 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blooming Pediatric & Family Nurse Practitioners Pllc NPPES

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

BLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC (NPI 1801548177) is a healthcare organization registered as a family in New Hartford, New York and active in the NPI registry since January 2022. The organization lists Coral Montana, Owner, as its authorized official.

NPPES Registry Identity

NPI1801548177
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLOOMING PEDIATRIC & FAMILY NURSE PRACTITIONERS PLLC
Location Address1 OXFORD XING STE 3New Hartford, NY 13413-3200
Mailing Address1 Oxford Xing Ste 3New Hartford, NY 13413-3200
Organization SubpartNo
Authorized OfficialCoral MontanaOwner · (315) 662-0162
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1801548177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1 OXFORD XING STE 3, New Hartford, NY 13413

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blooming Pediatric & Family Nurse Practitioners Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Blooming Pediatric & Family Nurse Practitioners PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1730270992
1 OXFORD XING STE 3
New Hartford, NY 13413
(315) 662-0162
✔ PECOSSame address
Nurse Practitioner
NPI 1629637335
1729 BURRSTONE RD
New Hartford, NY 13413
(315) 798-1702
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1316478803
1819 BLACK RIVER BLVD N
Rome, NY 13440
(315) 338-7184
✔ PECOS15 mi
Nurse Practitioner
NPI 1609560671
1 ATWELL RD
Cooperstown, NY 13326
(607) 547-3480
✔ PECOS31 mi

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

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 Blooming Pediatric & Family Nurse Practitioners PLLC's NPI number?

The NPI number for Blooming Pediatric & Family Nurse Practitioners PLLC is 1801548177. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Blooming Pediatric & Family Nurse Practitioners PLLC located?

Blooming Pediatric & Family Nurse Practitioners PLLC is located at 1 Oxford Xing Ste 3, New Hartford, NY 13413. The listed phone number is (315) 662-0162.

What is Blooming Pediatric & Family Nurse Practitioners PLLC's specialty?

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

Is Blooming Pediatric & Family Nurse Practitioners PLLC enrolled in Medicare?

Yes. Blooming Pediatric & Family Nurse Practitioners PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blooming Pediatric & Family Nurse Practitioners PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Blooming Pediatric & Family Nurse Practitioners PLLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blooming Pediatric & Family Nurse Practitioners PLLC was last updated on January 19, 2022. 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.