Active NPI
Bridget Wilson, RN, FNP
- Nurse Practitioner
- Cortland, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 341993
- Practice address
- 134 Homer Ave
Cortland, NY 13045-1206 - Phone
- (607) 756-3740
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Nurse Practitioner | 363L00000X | 341993 | NY | Primary |
Addresses
Primary practice location
134 Homer Ave
Cortland, NY 13045-1206
Mailing address
PO Box 4224
Ithaca, NY 14852-4224
Phone (607) 662-4056
Other names 1
- Ms. Bridgett Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 79.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341993 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Emergency Medical Services, P.C. | Current | Accepting new patients | |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Current | Accepting new patients | |
| Siena Emergency Medical Services, P.C. | Current | Accepting new patients | |
| Emergency Medicine Physicians of Carteret County, PLLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Cortland County, PLLC | Current | Accepting new patients | |
| Island Emergency Medical Services, P.C. | Current | Accepting new patients |
Locations
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- bwilson161398@direct-guthrie.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1609816024
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Emergency Medicine Physician
- Morehead City, NC
- NPI 1538108535
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1053841577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4224",
"city": "ITHACA",
"state": "NY",
"postal_code": "148524224",
"telephone_number": "607-662-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451206",
"telephone_number": "607-756-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRIDGET",
"name_prefix": "Ms.",
"credential": "RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "341993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGETT",
"last_name": "WILSON",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.