Individual provider Active NPI

Bridget Starr Gill, CRNP

  • Family Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1033712765
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022648 Issued in PA
Practice address
751 Liberty St
Meadville, PA 16335-2591
Phone
(814) 333-7016
Fax
(814) 373-3543
NPI assigned
Nov 17, 2020
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022648 PA Primary
Family Medicine Physician 207Q00000X SP022648 PA

Addresses

Primary practice location

751 Liberty St
Meadville, PA 16335-2591

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-7016

Other practice location 1

11277 Vernon Pl Ste 200
Meadville, PA 16335-3719
Phone (814) 373-2230

Other practice location 2

765 Liberty St Ste 200
Meadville, PA 16335-2570
Phone (814) 373-2230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgill@mmchs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201228000123 PA Practitioner - Nurse Practitioner 8628480209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Physician ServicesGroup PAC ID 9638078504, 26 clinicians

Practice addresses (Care Compare)

11277 Vernon PL
Suite 200
Meadville, PA 16335-3719
Phone (814) 373-2230

751 Liberty St
Suite G19
Meadville, PA 16335-2559
Phone (814) 333-5405

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022648PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Meadville Physician Services Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Meadville Medical Center CurrentSince Dec 13, 2020 Accepting new patients
Meadville Medical Center CurrentSince Dec 13, 2020 Accepting new patients
Meadville Medical Center Past Accepting new patients
Primary Care Services Family Medicine Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

11277 Vernon Pl
Ste 200
Meadville, PA 16335
Phone (814) 373-2230

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

765 Liberty St
Ste 200
Meadville, PA 16335
Phone (814) 373-2230

Interoperability endpoints

  • Direct secure messaging: bgill@mmchs.org
  • Direct secure messaging: bridget.gill@directaddress.net

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 1

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1033712765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-7016",
            "fax_number": "814-373-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352591",
            "telephone_number": "814-333-7016",
            "fax_number": "814-373-3543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11277 Vernon Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353719",
            "country_code": "US",
            "telephone_number": "814-373-2230",
            "fax_number": "814-373-2169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Liberty St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352570",
            "country_code": "US",
            "telephone_number": "814-373-2230",
            "fax_number": "814-373-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "BRIDGET",
        "middle_name": "STARR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022648",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP022648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgill@mmchs.org",
            "affiliation": "N",
            "address_1": "751 Liberty St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163352591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.