Amelia Kaye Bloomquist, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61677784 Issued in WA

Practice address

4305 E Trent Ave
Spokane, WA 99212-1315

Phone

(800) 491-0909

NPI assigned

Dec 30, 2019

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, TX, CO3 enrollments

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 3

Merit-based Incentive Payment System (MIPS)

Final score

84.32 of 100Reported as group

Quality

70.82

Promoting interoperability

100

Improvement activities

40

Cost

76.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amelia.bloomquist@krogerhealth.eclinicaldirectplus.com

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment NPD
• SC House Calls Inc

  dba Your Health Organization

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1518048859
  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• The Little Clinic of Colorado, LLC

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1538354568
  Medicare reassignment NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Maniilaq Association

  dba Tigautchiaq Amainiq Health Clinic

  • Federal Public Health Clinic/Center
  • Buckland, AK
  • NPI 1639446347
  NPD
• SC House Calls Inc

  • Oxygen Equipment & Supplies (DME)
  • Columbia, SC
  • NPI 1073201711
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Mountainside Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Petersburg, AK
  • NPI 1174108880
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• WCHS, Inc

  dba Bellingham Treatment Solutions

  • Methadone Clinic
  • Bellingham, WA
  • NPI 1811592116
  NPD (past)
• Southcentral Foundation

  dba BSD- Detox

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1548809189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121315",
            "telephone_number": "509-795-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121315",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMQUIST",
        "first_name": "AMELIA",
        "middle_name": "KAYE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61677784",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24710",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmonix Bloom Gilbert, SUDP-T
• Bloom Institute of Pelvic Therapy (Bloom Pelvic Therapy)
• Andrea Bloom, LMHC, LMFT
• Andrew Allyn Bloom, PA-C
• Myron E Bloom, MD
• Jennah Kay Marie Blossom, MC61053752
• Stacy Rae Blowers, LMT
• Gaye E Bloxom, PA-C
• Jodie L Bloyed, LMT
• Blue Mountain Neuropsychological Associates

• Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.