JILL E. BLOOM (PA) – Physician Assistant, NPI 1215114541

JILL E. BLOOM (PA) is a healthcare provider. based in Blacksburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110003042 (VA). The NPI Number for JILL E. BLOOM (PA) is 1215114541

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JILL E. BLOOM (PA)
NPI
1215114541
Phone
(540) 553-0568
Address
811 VILLAGE WAY N
Enumeration Date
29 January 2008
Last Update Date
18 November 2009

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5403870441
Graduation Year
1994 (32 years ago)
PAC ID
0941384242
Group Practice PAC ID
5890607253
Professional Enrollment ID
I20100121000104
Address ID
VA241533109SA1955XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for JILL E. BLOOM (PA)

  • 811, Village Way North, Longview Estates, Blacksburg, Montgomery County, Virginia, 24060, United States

    BLACKSBURG, VA 240601845

    Phone: (540) 553-0568

    Type: Mailing

  • 120 AKERS FARM RD

    CHRISTIANSBURG, VA 240734863

    Phone: (540) 382-3440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Medtronic, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$17
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: 2010-01-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100121000104IPhysician AssistantVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes430380$0
81001Manual urinalysis test with examination using microscope, automated285233$0
81003Automated urinalysis test269248$0
51798Ultrasound measurement of bladder capacity after voiding254212$0
99214Established patient office or other outpatient visit, 30-39 minutes170147$0
View full utilization report →

Insurance plans in this area (ZIP 24060)

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Provider's Procedures

JILL E. BLOOM (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA51798Ultrasound measurement of bladder capacity after voiding144121

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: 5890607253View full group profile

Reviews

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Frequently asked questions

How is JILL E. BLOOM (PA) identified in CMS data?
CMS-hosted NPPES data lists JILL E. BLOOM (PA) with NPI 1215114541.
Is JILL E. BLOOM (PA) still practicing?
JILL E. BLOOM (PA) is currently listed as active in the public NPI registry.
What taxonomy line describes JILL E. BLOOM (PA)?
For research purposes, treat JILL E. BLOOM (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does JILL E. BLOOM (PA) serve?
JILL E. BLOOM (PA)'s listing highlights Blacksburg, Virginia; more addresses can appear in NPPES.
Why does JILL E. BLOOM (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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