ALEXANDRA BLOOM RN FNP-BC NPI 1497215107

NPI Information

  • NPI: 1497215107
  • Provider Name: ALEXANDRA BLOOM, RN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 33720 HARPER AVE
    CLINTON TWP, MI
    ZIP 48035
  • Phone: (586) 294-5210

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NPI Details

Alexandra Bloom, RN, FNP-BC is a family nurse practitioner in Clinton Twp, MI with 8 years of experience. Alexandra Bloom, RN, FNP-BC NPI is 1497215107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2018

The provider's business location address is:

33720 HARPER AVE
CLINTON TWP, MI
ZIP 48035
Phone: (586) 294-5210
Fax: (586) 294-0215

The NPI 1497215107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 3/20/2019 and was last updated on 7/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704293192MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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