JOANNA L BLOOMER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407197635
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for JOANNA L BLOOMER (APRN)
1 Medical Village Dr
Edgewood, KY 410173403
Phone: (859) 212-4468
Fax: (859) 212-4357
Type: Location
PO BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Fax: (859) 344-5552
Type: Mailing
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
Phone: (859) 212-4468
Fax: (859) 212-4357
Type: Location
1101 SAINT CHRISTOPHER DR STE 321
ASHLAND, KY 411017087
Phone: (606) 329-8588
Type: Location
3701 LANDSDOWNE DR
ASHLAND, KY 411025422
Phone: (606) 324-3005
Fax: (606) 329-1530
Type: Mailing
57 DORA LN
GREENUP, KY 411441187
Phone: (866) 233-1955
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $1,854.
Total Amount is formed as General ($1,854) + Research ($0) + Ownership ($0) = $1,854.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($466).
Total Amount
$1,854
General + Research + Ownership
Payments
102
Total payment records
General Amount
$1,854
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $466 |
| Teva Pharmaceuticals USA, Inc. | $242 |
| Janssen Pharmaceuticals, Inc | $238 |
| Alkermes, Inc. | $212 |
| Otsuka America Pharmaceutical, Inc. | $195 |
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: 2014-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140327000471 | I | Nurse Practitioner | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| Mental Health Counselor | KY | |
| Pediatric Medicine, Family Practice, Addiction Medicine | WV | |
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| Mental Health Counselor | KY | |
| Mental Health Counselor | KY |
Reviews
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