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

Individual provider Physician Assistant · NPI 1720670482

Shane Taylor Bloom, PA is a Physician Assistant in Lincoln, Nebraska. Graduated from University of Nebraska College of Medicine in 2021, 5 years ago. Practices with Nebraska Orthopaedic Center PC, a 64-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
5
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 S 48th St Ste 800
Lincoln, NE 68506-1200
Phone: (402) 483-8600
Fax: (402) 483-8689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2570 (NE)

Record details

NPI number1720670482
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address1500 S 48th St Ste 800, Lincoln, NE 68506-1200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Nebraska Orthopaedic Center Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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