DESIRAE BLOOMQUIST (NP) – Nurse Practitioner, NPI 1699267963
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
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Provider Addresses for DESIRAE BLOOMQUIST (NP)
442 S BLAKELEY ST
MONROE, WA 982722207
Phone:
Type: Mailing
716, East Manitoba Avenue, Ellensburg, Kittitas County, Washington, 98926, United States
ELLENSBURG, WA 989263842
Phone: (509) 933-8777
Type: Location
716 E Manitoba Ave
Ellensburg, WA 989263842
Phone: (509) 933-8777
Type: Location
2484 River Rd
Eugene, OR 974042042
Phone: (541) 222-7650
Fax: (541) 222-7630
Type: Location
4010 Aerial Way
Eugene, OR 974029757
Phone: (541) 687-6353
Fax: (541) 242-8413
Type: Location
3377 RIVERBEND DR
SPRINGFIELD, OR 974778803
Phone: (541) 222-6565
Fax: (541) 222-6567
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-07-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($82).
Total Amount
$100
General + Research + Ownership
Payments
2
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $82 |
| Abbott Laboratories | $18 |
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: 2021-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190225000116 | I | Nurse Practitioner | WA | TBD |
| I20211011002415 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 67 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 46 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 17 | 13 | $0 |
Insurance plans in this area (ZIP 98272)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | NC | |
| - | OR | |
| Physician Assistant | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | OR |
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