MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1457340978

MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) is a healthcare provider. based in Roswell, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 008355 (NY). The NPI Number for MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) is 1457340978

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER)
NPI
1457340978
Phone
(770) 410-4520
Address
4500 HOSPITAL BLVD STE 320
Enumeration Date
18 October 2005
Last Update Date
31 July 2020

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
1994 (32 years ago)
PAC ID
1355402553
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190314002556
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER)

  • 4500 HOSPITAL BLVD STE 320

    ROSWELL, GA 300760001

    Phone: (770) 410-4520

    Fax: (770) 410-4525

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,645.

Total Amount is formed as General ($1,645) + Research ($0) + Ownership ($0) = $1,645.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Boston Scientific Corporation ($228).

Total Amount

$1,645

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,645

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081208000268INurse PractitionerNYTBD
I20190314002556INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5351$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3123$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Where can patients find MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER)'s NPI?
You can confirm MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) with NPI 1457340978; it appears in the national provider directory.
Is MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) currently active in the NPI registry?
CMS-published data lists MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) as an active registrant.
Does MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER)?
The page summarizes Roswell, Georgia for MS. INGRID LEA BLOOMFIELD (NURSE PRACTITIONER); expand the address list for detail.
What if Roswell, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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