JILL C BLOOMER (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073135869
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JILL C BLOOMER (RN)
101 W 2ND ST
DULUTH, MN 558022086
Phone: (907) 854-6005
Type: Mailing
615 SUMMIT ST
CARTHAGE, NC 283274002
Phone: (907) 854-6005
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($49).
Total Amount
$133
General + Research + Ownership
Payments
9
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $49 |
| Tempus AI, Inc | $29 |
| Corium, LLC | $26 |
| Teva Pharmaceuticals USA, Inc. | $16 |
| ABBVIE INC. | $13 |
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: 2021-09-28
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 |
|---|---|---|---|---|
| I20210928003396 | I | Nurse Practitioner | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 40 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 19 | $0 |
Insurance plans in this area (ZIP 55802)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.