Individual provider Active NPI

Bridget Nicole Hubenak

  • Physician Assistant
  • Victoria, TX
National Provider Identifier
1023726957
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2700 Citizens PLZ Ste 300
Victoria, TX 77901-5757
Phone
(361) 582-5745
NPI assigned
Nov 9, 2022
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2700 Citizens PLZ Ste 300
Victoria, TX 77901-5757

Mailing address

2700 Citizens PLZ Ste 300
Victoria, TX 77901-5757

Other practice location 1

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 582-5771

Other names 1

  • Bridget Nicole Janecek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002984 TX Practitioner - Physician Assistant 2163879909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Hospital DistrictGroup PAC ID 2365423795, 20 clinicians
El Campo Memorial HospitalGroup PAC ID 6406021765, shared by 5 NPIs, 27 clinicians
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

1013 A S Wells St
Edna, TX 77957-4045

1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7800

204 S
4TH Mid Coast Well Care Ganado
Ganado, TX 77962-2105
Phone (361) 771-3311

2700 Citizens PLZ
Victoria, TX 77901-5756

2700 Citizens PLZ
Victoria, TX 77901-5757

2701 Hospital Dr
Victoria, TX 77901-5748

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients
Letsoumd, PLLC PastSince Apr 1, 2024 Accepting new patients
CPF Cardiology Associates, P.a. PastSince Apr 1, 2024 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1023726957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015757",
            "telephone_number": "361-582-5745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015748",
            "country_code": "US",
            "telephone_number": "361-582-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBENAK",
        "first_name": "BRIDGET",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "JANECEK",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.