Bloom Pediatrics, Pllc

ActiveOrganizationNurse Practitioner
NPI issued: April 16, 2026

Quick Facts

NPI Number
1104760537
TypeOrganization
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LP0200X — Nurse Practitioner
Phone
(904) 675-3076
StateFL

NPI Validation Status: Verified

Valid 10-digit NPI number (1104760537)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 16, 2026)
Data source: CMS NPPES

Provider Overview

BLOOM PEDIATRICS, PLLC is a Nurse Practitioner provider based in Callahan, FL who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104760537
Provider TypeOrganization
StatusActive
Enumeration DateApril 16, 2026

Practice Location

CityCallahan
StateFL
ZIP Code32011-8109
Phone(904) 675-3076

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LP0200X
License StateFL

Mailing Address

CityCallahan
StateFL
ZIP Code32011-8109
Phone(904) 675-3076
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104760537 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104760537for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104760537 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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21,780
Nurse Practitioner Providers in the US

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People Also Ask

What is Bloom Pediatrics, Pllc's NPI number?
Bloom Pediatrics, Pllc's NPI number is 1104760537, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bloom Pediatrics, Pllc's NPI currently active?
Yes, Bloom Pediatrics, Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Bloom Pediatrics, Pllc specialize in?
Bloom Pediatrics, Pllc specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LP0200X.
Where does Bloom Pediatrics, Pllc practice?
Bloom Pediatrics, Pllc practices in Callahan, FL 32011-8109.
When was Bloom Pediatrics, Pllc's NPI issued?
Bloom Pediatrics, Pllc's NPI was issued on April 16, 2026.
What is Bloom Pediatrics, Pllc's provider type?
Bloom Pediatrics, Pllc is registered as an Organization under CMS NPI Type 2.