Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tracy Roy Bloom II, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1699858357

Mrs. Tracy Roy Bloom II, NURSEPRACTITIONER is a Nurse Practitioner in Napa, California. Qualified in 2000, 26 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1705 Georgia St
Napa, CA 94559-1621
Phone: (707) 738-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 14057 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 616687 (CA)

Record details

NPI number1699858357
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Napa