Bridgette T Closen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704270207 Issued in MI

Practice address

1320 Waldo Ave Ste 300
Midland, MI 48642-5898

Phone

(989) 667-3440

NPI assigned

Dec 17, 2019

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: bclosen@landmarkhealth-direct.org

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1063050409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WALDO AVE STE 300",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425898",
            "telephone_number": "989-667-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WALDO AVE STE 300",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425898",
            "telephone_number": "989-667-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Straits Dr",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487068705",
            "country_code": "US",
            "telephone_number": "989-667-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSEN",
        "first_name": "BRIDGETTE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Clifford
• Danae Nichole Cline, RN, BSN, IBCLC
• Irene Cline
• Molly M. Clore, MS
• Kristin Close, BCBA
• Vedenia R Cochran
• Hailey Cockeram, RBT
• David Ryan Cohen, DPM
• Janelle Allison Coin
• Jessica Coin

• Family Nurse Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.