Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nakila Blessing , ARNP

Nurse Practitioner • Bloomfield, IA

Active NPI 1578018891 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

509 N Madison St
Bloomfield, IA 525371299

Call 6416643832 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

509 N Madison St

Bloomfield, IA 525371299

Telephone 6416643832
Fax 6416641857
Organization at the Same NPPES Address or Phone
Davis County Hospital Facility NPI 1437102068

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Davis County Hospital; Mercy Medical Center-Centerville. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

30-day fills

736 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$24,710 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $190.56 across 9 records.

By nature of payment

  • Food and Beverage: $190.56 across 9 records.

Reporting-company totals (3 largest of 8)

  • Boehringer Ingelheim Pharmaceuticals, Inc.: $47.50 across 2 records.
  • ABBVIE INC.: $29.55 across 1 record.
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC: $24.78 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nakila Blessing has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nakila Blessing as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomfield and Iowa

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: 483. Middle half: 123 to 1,956.

Too few clinicians listed under Nurse Practitioner in Bloomfield have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: $24,605. Middle half: $1,324 to $225,033.

Too few clinicians listed under Nurse Practitioner in Bloomfield have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Nurse Practitioner with a practice address in Bloomfield, IA (1,294 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $190.56.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $29.55
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $26.76
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $24.78
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $20.83
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $20.74
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $17.95
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
GARDASIL 9 General $17.76
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $17.32
Amgen Inc.
Food and Beverage
In-kind items and services
EVENITY General $14.87

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 44 1,998 $270.84 19
Amlodipine Besylate Amlodipine Besylate 33 1,635 $99.19 14
Lisinopril Lisinopril 31 1,585 $62.07 13
Cephalexin Cephalexin 29 193 $171.04 28
Levothyroxine Sodium Levothyroxine Sodium 29 1,229 $143.45 11
Furosemide Furosemide 28 838 $175.49 12
Prednisone Prednisone 27 207 $67.43 27
Albuterol Sulfate Hfa Albuterol Sulfate 27 689 $569.73 17
Pantoprazole Sodium Pantoprazole Sodium 26 820 $322.46 —
Omeprazole Omeprazole 24 1,406 $172.92 13
Potassium Chloride Potassium Chloride 22 867 $567.91 —
Ozempic Semaglutide 18 518 $16,644.98 —
Losartan Potassium Losartan Potassium 17 796 $91.01 —
Quetiapine Fumarate Quetiapine Fumarate 17 457 $163.31 —
Metoprolol Succinate Metoprolol Succinate 16 889 $220.69 —
Budesonide Budesonide 16 300 $2,786.40 —
Escitalopram Oxalate Escitalopram Oxalate 15 485 $149.61 —
Tizanidine Hcl Tizanidine Hcl 15 368 $39.72 —
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 14 108 $177.35 —
Oxycodone Hcl Oxycodone Hcl 14 127 $62.19 —
Azithromycin Azithromycin 13 63 $73.55 13
Doxycycline Hyclate Doxycycline Hyclate 13 118 $106.47 13
Fluconazole Fluconazole 13 145 $115.41 12
Clopidogrel Clopidogrel Bisulfate 13 501 $169.92 —
Montelukast Sodium Montelukast Sodium 13 530 $101.01 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IA A145200

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20170215000118

Enrollment State Jurisdiction

IA

PECOS Control ID

9931482056

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mercy Medical Center-Centerville

1 Saint Joseph Dr, Centerville, IA 525449017

Phone: 6414374111

Davis County Hospital

509 N Madison St, Bloomfield, IA 525371271

Phone: 6416642145

Mercy Medical Center-Centerville

1 Saint Joseph Dr, Centerville, IA 525449098

Mercy Medical Center-Centerville

19942 Saint Joseph Dr, Centerville, IA 525448849

Phone: 6418568684

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Jessica Christen

Nurse Practitioner - Family

NPI 1437526258
Dr. Robert Floyd , DO

Internal Medicine

NPI 1275514028

Doctor of Osteopathic Medicine (D.O.)

Paige Helton

Nurse Practitioner - Family

NPI 1104532357
Dianne Knapp , ARNP

Nurse Practitioner - Family

NPI 1760482426

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location February 25, 2025

Registered at 509 N MADISON ST, BLOOMFIELD, IA 525371299 (Tel: 6416643832)

📍
Updated Business Mailing Address February 25, 2025

Registered at 509 N MADISON ST, BLOOMFIELD, IA 525371299 (Tel: 6416643832)

📍
Updated Practice Location February 14, 2019

Registered at 19942 SAINT JOSEPH DR, CENTERVILLE, IA 525448849 (Tel: 6418568684)

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NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 16, 2016

Registered at 19876 SAINT JOSEPH DR, CENTERVILLE, IA 525448850 (Tel: 6418568684)

📍
Business Mailing Address (Initial Record) August 16, 2016

Registered at 19876 SAINT JOSEPH DR, CENTERVILLE, IA 525448850 (Tel: 6418568684)

👤
Provider Name / Credentials (Initial Record) August 16, 2016

Recorded as NAKILA BLESSING, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Nurse Practitioner (license number reported to NPPES: IA A145200)

🟢
Initial NPI Registration & Enumeration August 16, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578018891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2016
Last Update: February 25, 2025
Sole Proprietor: No

Mailing Address

509 N Madison St

Bloomfield, IA 525371299

Phone: 6416643832

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.