BLOSSOM PAIN MANAGEMENT
NPI 1922510361
Family Medicine - Sports Medicine in Chesapeake, VA
About Blossom Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM PAIN MANAGEMENT (NPI 1922510361) is a healthcare organization registered as a sports medicine in Chesapeake, Virginia and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through September 30, 2028 and lists Ruth Ann Watson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blossom Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blossom Pain Management, 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 of Waiver 49D2155510
Wzd Management LLC · Chesapeake, VAFrequently 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 Wzd Management LLC's NPI number?
The NPI number for Wzd Management LLC is 1922510361. It was assigned to this organization in the NPPES registry on October 25, 2017. The provider is doing business as Blossom Pain Management.
Where is Wzd Management LLC located?
Wzd Management LLC is located at 801 Greenbrier Pkwy Ste B, Chesapeake, VA 23320. The listed phone number is (757) 819-7547.
What is Wzd Management LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Wzd Management LLC enrolled in Medicare?
Yes. Wzd Management LLC is registered in the Medicare PECOS enrollment system.
When is Wzd Management LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wzd Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wzd Management 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 Wzd Management LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2155510) is associated with this NPI, valid through September 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wzd Management LLC was last updated on January 4, 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.
# Blossom Pain Management · NPI 1922510361
Sports Medicine organization in Chesapeake, Virginia. Organization record, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1922510361 (Entity type: Organization)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **Legal business name:** Wzd Management Llc
- **Organization subpart:** No
- **Authorized official:** Ruth Ann Watson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 801 GREENBRIER PKWY STE B, Chesapeake, VA 23320-3822
- **Phone:** (757) 819-7547 · **Fax:** (757) 842-6570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922510361) · Data from the CMS NPPES public registry.