NPIMap

Individual provider Active NPI

Kristen Bloom, PA-C

  • Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1376025528
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060211 Issued in NU
Practice address
Orthopeadic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone
(610) 376-8671
Fax
(610) 376-6387
NPI assigned
Sep 4, 2018
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X MA060211 NU Primary

Addresses

Primary practice location

Orthopeadic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010

Mailing address

Orthopeadic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone (610) 376-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212001150 PA Practitioner - Physician Assistant 2163760448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4885 Demoss Rd
Suite 102
Reading, PA 19606-9024
Phone (610) 376-8671

850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone (610) 376-8971

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
74.29
Promoting interoperability
95
Improvement activities
40
Cost
74.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Reading LTD CurrentSince Dec 16, 2018 Accepting new patients

Locations

4885 Demoss Rd
Ste 102
Reading, PA 19606
Phone (610) 370-9980

301 S 7th Ave
Ste 3220
West Reading, PA 19611
Phone (484) 628-2663

850 Knitting Mills Way
Wyomissing, PA 19610
Phone (610) 376-8671

Organizations & group practices 1

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

Hospital & facility affiliations 8

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1376025528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORTHOPEADIC ASSOCIATES OF READING",
            "address_2": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671",
            "fax_number": "610-376-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORTHOPEADIC ASSOCIATES OF READING",
            "address_2": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671",
            "fax_number": "610-376-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "MA060211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.