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

MS. Ingrid Lea Bloomfield, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1457340978

MS. Ingrid Lea Bloomfield, NURSEPRACTITIONER is a Nurse Practitioner in Roswell, Georgia. Graduated from State University of New York at Stony Brook, School of Medicine in 1994, 32 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2005

Practice location Address checks out

4500 Hospital Blvd Ste 320
Roswell, GA 30076-0001
Phone: (770) 410-4520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 008355 (NY)

Record details

NPI number1457340978
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roswell