BLOSSOM MEDICAL CENTER CORP
NPI 1942177969
Clinic/Center - Primary Care in Saint Petersburg, FL
About Blossom Medical Center Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM MEDICAL CENTER CORP (NPI 1942177969) is a healthcare organization registered as a primary care in Saint Petersburg, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Raisa Ramirez Norton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blossom Medical Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Blossom Medical Center Corp, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2340195
Blossom Medical Center Corp · Saint Petersburg, FLFrequently 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 Blossom Medical Center Corp's NPI number?
The NPI number for Blossom Medical Center Corp is 1942177969. It was assigned to this organization in the NPPES registry on October 22, 2025.
Where is Blossom Medical Center Corp located?
Blossom Medical Center Corp is located at 5405 Park St N, Saint Petersburg, FL 33709. The listed phone number is (813) 701-4909.
What is Blossom Medical Center Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Blossom Medical Center Corp enrolled in Medicare?
Yes. Blossom Medical Center Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blossom Medical Center Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blossom Medical Center Corp, in General Practice and Nurse Practitioner. 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 Blossom Medical Center Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2340195) is associated with this NPI, valid through March 12, 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 Blossom Medical Center Corp was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Blossom Medical Center Corp · NPI 1942177969
Primary Care organization in Saint Petersburg, Florida. Organization record, active in the CMS NPPES registry since October 22, 2025.
## Identity
- **NPI:** 1942177969 (Entity type: Organization)
- **Enumerated:** October 22, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Raisa Ramirez Norton, OWNER
## Practice location
- **Address:** 5405 PARK ST N, Saint Petersburg, FL 33709-1044
- **Phone:** (813) 701-4909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942177969) · Data from the CMS NPPES public registry.