Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Bloom, DNP, FNP-BC

Individual provider Nurse Practitioner · NPI 1003680919

Madison Bloom, DNP, FNP-BC is a Nurse Practitioner in Okemos, Michigan. Graduated from Wayne State University School of Medicine in 2024, 2 years ago. Practices with Pine Hollow Partner LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3945 Okemos Rd Ste A2
Okemos, MI 48864-4207
Phone: (517) 339-1676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704341737 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704341737 (MI)

Record details

NPI number1003680919
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedNovember 10, 2023
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Pine Hollow Partner Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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