MRS. MICHELLE MARIE BLOOM (ACNP) – Acute Care Nurse Practitioner, NPI 1003230764

MRS. MICHELLE MARIE BLOOM (ACNP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 2015008056 (MO). The NPI Number for MRS. MICHELLE MARIE BLOOM (ACNP) is 1003230764

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE MARIE BLOOM (ACNP)
NPI
1003230764
Phone
(800) 862-9980
Address
660 S EUCLID AVE
Enumeration Date
14 February 2014
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147471171
Graduation Year
2014 (12 years ago)
PAC ID
3476872847
Group Practice PAC ID
4789945163
Professional Enrollment ID
I20190211000526
Address ID
IL622265360BE4500XDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. MICHELLE MARIE BLOOM (ACNP)

  • 660 S EUCLID AVE

    CB 8054

    SAINT LOUIS, MO 631101010

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT ANESTHESIOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 862-9980

    Fax: (314) 362-1185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-09-07 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($146).

Total Amount

$236

General + Research + Ownership

Payments

5

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-02-11

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
I20150506001542INurse PractitionerMOTBD
I20190211000526INurse PractitionerILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7648$0
99291Critical care, first 30-74 minutes7243$0
99292Critical care, each additional 30 minutes4216$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 4789945163View full group profile
NameSpecialtyState
Nurse PractitionerIL
Medical Oncology, Internal MedicineIL
Radiation OncologyIL
Radiation OncologyIL
Radiation OncologyIL
O B S T E T R I C S/ G Y N E C O L O G YMO
Critical Care (Intensivists), AnesthesiologyIL
-IL
Physician AssistantIL
Radiation OncologyIL

Reviews

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Frequently asked questions

What is the standard ID for MRS. MICHELLE MARIE BLOOM (ACNP) in the U.S.?
In the U.S., MRS. MICHELLE MARIE BLOOM (ACNP) is identified by NPI 1003230764.
Should I treat MRS. MICHELLE MARIE BLOOM (ACNP) as an active provider?
Patients and plans typically see MRS. MICHELLE MARIE BLOOM (ACNP) as active in the national extract.
What type of care does MRS. MICHELLE MARIE BLOOM (ACNP) provide?
MRS. MICHELLE MARIE BLOOM (ACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. MICHELLE MARIE BLOOM (ACNP) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, MRS. MICHELLE MARIE BLOOM (ACNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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