Bernice Moeller-Bloom, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

F3600631 Issued in NY

Practice address

59 Myrtle Street
Suite 100
Saratoga Springs, NY 12866-1093

Phone

(518) 587-2400

Fax

(518) 581-0141

NPI assigned

Jun 10, 2005

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Merit-based Incentive Payment System (MIPS)

Final score

68.51 of 100Reported as group

Quality

56.19

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmoellerbloom100302@albanymed.direct-ci.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.

• McGinnis Womens Medical Care, PC

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1194746941
  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Saratoga Regional Medical , P.C

  • Nephrology Physician
  • Glens Falls, NY
  • NPI 1982094827
  Medicare reassignment NPD
• Saratoga Hospital

  dba The Community Pharmacy at Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Ballston Lake, NY
  • NPI 1437418795
  NPD
• Saratoga Regional Medical , P.C

  • Multi-Specialty Clinic/Center
  • Ballston Spa, NY
  • NPI 1902545148
  NPD
• Womens Care in Obstetrics and Gynecology PC

  • Obstetrics & Gynecology Physician
  • Glens Falls, NY
  • NPI 1962455279
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1639173255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MYRTLE STREET",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661093",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MYRTLE STREET",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661093",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER-BLOOM",
        "first_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F3600631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "350498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean R Mischler, NP
• Lisa Marie Misener, RPH
• Patricia Misurelli, RN
• Barry Mitchell, MD
• Edward Ervin Moak, IDC
• Elise Moinzadeh, PA
• Andrew L. Molteni, PH.D.
• Linda Olson Moniot, OTD, OTR/L
• Kathleen A Monroe, DPT
• Richard Kermit Monroe, M.D., PH.D.

• Obstetrics & Gynecology Nurse Practitioner in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Obstetrics & Gynecology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.