Davis Bloemendaal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Phone

(605) 217-2667

NPI assigned

Aug 19, 2021

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, SD, NE3 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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Orange City Area Health System Hospital, Orange City, IA, CCN 161360

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davisbloemendaal@cnos.allscriptsdirect.net
• Direct secure messaging: dbloemendaal894100@direct.unitypoint.org

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.

• Cnos PC

  • Orthopaedic Surgery Physician
  • Dakota Dunes, SD
  • NPI 1881604320

  IA, NE

  Medicare reassignment Care Compare group NPD
• Cnos, PC

  • Orthopaedic Surgery Physician
  • South Sioux City, NE
  • NPI 1750047304
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Siouxland Surgery Center Limited Liability Partnership

  dba Dunes Surgical Hospital

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation
• Orange City Municipal Hospital

  dba Northwest Surgery

  • Specialist
  • Orange City, IA
  • NPI 1265479323

  Hospital

  Care Compare affiliation
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Care Compare affiliation
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Family Medicine Physician
  • Orange City, IA
  • NPI 1962477992

  Hospital

  Care Compare affiliation
• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1326056755
  Care Compare affiliation

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1558037432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMENDAAL",
        "first_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Bruening PC (Bruening Eye Specialists)
• Benjamin T. Bissell, M.D.
• William R Blankenship, MD
• Marcus Joel Blankespoor, PA-C
• Sarah Bligh, MD
• Michael Dale Bobier, PA
• Erica Bonstead, ATHLETIC TRAINER
• Erin Bonstead, TCADC
• Andrew Elliott Bourne, M.D.
• Jessica Lee Bowman, NP-C

• Physician Assistant in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.