Individual provider Active NPI

Mary Katherine Bridges, FNP, AGACNP

  • Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1164072591
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
226773 Issued in LA
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(985) 280-2200
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 927072 MS
Nurse Practitioner 363L00000X 906858 MS
Nurse Practitioner 363L00000X 226773 LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Mailing address

12078 Grand Oaks Dr
Gulfport, MS 39503-5683
Phone (865) 228-4036

Other practice location 1

149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Phone (228) 467-8600

Other identifiers 1

IdentifierTypeStateIssuer
RN289947OtherGEORGIA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221006002904 LA Practitioner - Nurse Practitioner 5799161295 Reassigns benefits to 2 organizations
I20250611000199 MS Practitioner - Nurse Practitioner 5799161295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

Hospital & facility affiliations

  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as group
Quality
64.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
927072MSMDRegistered Nurse
906858MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 5, 2025 Accepting new patients
Mayfair Physician Services, LLC Nurse Practitioner CurrentSince Aug 25, 2022 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 5, 2025 Accepting new patients
Belle Chasse Physician Services LLC Nurse Practitioner CurrentSince Aug 25, 2022 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Interoperability endpoints

  • Direct secure messaging: mbridges1650747@direct.ochsner.org

Organizations & group practices 5

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.

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1164072591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 GRAND OAKS DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035683",
            "telephone_number": "865-228-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-280-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Drinkwater Rd",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201658",
            "country_code": "US",
            "telephone_number": "228-467-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "FNP, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "927072",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906858",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "226773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "RN289947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.