Individual provider Active NPI

Bridget Fanus Charles, DNP, CRNP

  • Family Nurse Practitioner
  • Wormleysburg, PA
National Provider Identifier
1265317481
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033400 Issued in PA
Practice address
1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone
(717) 737-3377
Fax
(717) 737-3387
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033400 PA Primary

Addresses

Primary practice location

1023 Mumma Rd
Wormleysburg, PA 17043-1164

Mailing address

1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone (717) 737-3377

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
I20260219004361 PA Practitioner - Nurse Practitioner 5294014007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1023 Mumma Rd
Wormleysburg, PA 17043-1164

207 Widders Dr
Mechanicsburg, PA 17055-5777

3607 Rosemont Ave
Suite 102
Camp Hill, PA 17011-6904

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP033400PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Kidney Disease and Hypertension, LLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

1023 Mumma Rd
Wormleysburg, PA 17043
Phone (717) 732-3377

Organizations & group practices 1

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1265317481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MUMMA RD",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431164",
            "telephone_number": "717-737-3377",
            "fax_number": "717-737-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MUMMA RD",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431164",
            "telephone_number": "717-737-3377",
            "fax_number": "717-737-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "BRIDGET",
        "middle_name": "FANUS",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.