EMILY BLOOMQUIST (PA-C) – Medical Physician Assistant, NPI 1194119149
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMILY BLOOMQUIST (PA-C)
6360 S 3000 E
STE 100
SALT LAKE CITY, UT 841216923
Phone: (801) 365-1032
Fax: (801) 365-1033
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 28 Open Payments records for all available years, with a total value of $635.
Total Amount is formed as General ($635) + Research ($0) + Ownership ($0) = $635.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: ABBVIE INC. ($522).
Total Amount
$635
General + Research + Ownership
Payments
28
Total payment records
General Amount
$635
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-04-30
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 |
|---|---|---|---|---|
| I20150430002012 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 36 | $0 |
Insurance plans in this area (ZIP 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| Physician Assistant | GA | |
| Family Practice | UT | |
| Family Practice, Sports Medicine | CO | |
| - | UT | |
| - | UT | |
| Family Practice | CA | |
| Certified Nurse Midwife (Cnm) | UT |
Reviews
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