Individual provider Active NPI

Jessica Maryanne Bloom, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1073963328
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3674 Issued in TN
Practice address
1718 Patterson St
Nashville, TN 37203-2926
Phone
(615) 379-3553
Fax
(615) 346-8479
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3674 TN Primary

Addresses

Primary practice location

1718 Patterson St
Nashville, TN 37203-2926

Mailing address

1718 Patterson St
Nashville, TN 37203-2926
Phone (615) 379-3553

Other names 1

  • Jessica Maryanne Brooks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbloom@alivepc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427002541 TN Practitioner - Physician Assistant 8123306438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alive Hospice, IncGroup PAC ID 0244276608, 29 clinicians
Alive Complex Care PCGroup PAC ID 0446752828, 10 clinicians

Practice addresses (Care Compare)

1718 Patterson St
Nashville, TN 37203-2926
Phone (615) 346-8546

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
90.29
Promoting interoperability
100
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Complex Care, P.C. CurrentSince Nov 3, 2025 Accepting new patients
Centennial Heart LLC Physician Assistant Past Accepting new patients

Locations

1718 Patterson St
Nashville, TN 37203
Phone (615) 327-1085

Interoperability endpoints

  • Direct secure messaging: jbloom@alivepc.org
  • Direct secure messaging: jessica.brooks@hca1.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1073963328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-379-3553",
            "fax_number": "615-346-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-379-3553",
            "fax_number": "615-346-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JESSICA",
        "middle_name": "MARYANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbloom@alivepc.org",
            "affiliation": "N",
            "address_1": "1718 Patterson St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372032926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BROOKS",
            "middle_name": "MARYANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.