JENNIFER R BLOOM CNP
NPI 1881724284
Nurse Practitioner - Adult Health in Dayton, OH

Q: What is Jennifer Bloom's NPI number?

The NPI number for Jennifer Bloom is 1881724284. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Jennifer R Bloom-Long Np.

Q: What is Jennifer Bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bloom was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment

8881 N MAIN ST, DAYTON, OH 45415(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2024, Jul 25, 2024 (2 updates tracked since 2024).

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About Jennifer R Bloom Cnp NPPES

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

JENNIFER R BLOOM CNP (NPI 1881724284) is an individual adult health provider in Dayton, Ohio, licensed in Ohio (RN-241081 NP-08754) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1881724284

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJENNIFER R BLOOMCredential: CNP

Location Address8881 N MAIN STDayton, OH 45415-1333

Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 280-8400

Phone(937) 293-1622

Fax(937) 245-6308

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2005

Enumeration DateMarch 6, 2007

Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1881724284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OH · RN-241081 NP-08754

8881 N MAIN ST, Dayton, OH 45415

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Other Names 1

Former Name (1)Jennifer R Bloom-long Np

Secondary Practice Locations 3

Location 13120 Governors Place BlvdKettering, OH 45409-1328 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 2501 Atrium Dr Fl 1Middletown, OH 45005-5165 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 3855 W Market StTroy, OH 45373-3837 · Phone (937) 293-1622 · Fax (937) 245-6308

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer R Bloom Cnp 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.

PECOS PAC ID648559336

PECOS Enrollment IDI20170622002558, I20240301000778

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 15

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

DR. HOWARD M GROSS MD

Internal Medicine (Hematology & Oncology)