Noel Lawton Bloomfield II
Individual provider Active NPI Family Nurse Practitioner · Potsdam, NY
NPI 1194478875 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1194478875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 354356 (NY)
- Practice address
- 49 Lawrence Ave
Potsdam, NY 13676-1889 - Phone
- (315) 274-9075
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Canton-Potsdam Hospital
Practice addresses (Care Compare)
49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 261-5550
Hospital & facility affiliations
- Canton-Potsdam Hospital
- SLHS Massena, Inc
- Gouverneur Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909000604 | NY | Practitioner - Nurse Practitioner | 4789124520 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massena Hospital Inc | Current |
Accepting new patients | |
| Massena Hospital, Inc | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Binghamton University | Current |
Accepting new patients | |
| Canton Potsdam Hospital | Past | Accepting new patients | |
| Binghamton University Health Services | Past |
Accepting new patients |
Locations
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
49 Lawrence Ave
Potsdam, NY 13676
Phone (315) 261-5550
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
Interoperability endpoints
- nbloomfield347275@direct.rochesterregional.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 354356 | NY | Yes |
Addresses
Primary practice location
49 Lawrence Ave
Potsdam, NY 13676-1889
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Other practice location 1
4400 Vestal Pkwy E
Binghamton, NY 13902-4601
Phone (607) 777-2000
Other practice location 2
1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200
Other practice location 3
50 LeRoy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
Other practice location 4
77 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-1000
Other providers in Potsdam, NY
- Sarah Berube
- Maurice Bettez
- Connie T Bicknell
- Jaime Byington Bicknell
- Esther Blanks
- Bodyworks Chiropractic
- Jean Quinn Bogart
- Coreen Bohl
- Bridget Bond
- Gwen Lindsey Bonner
All providers in Potsdam, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.