Active NPI
Susan Lynn Bridges, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3003717
- Practice address
- 3920 Dutchmans LN
Louisville, KY 40207-4702 - Phone
- (502) 259-6710
- Fax
- (502) 259-6704
- NPI assigned
- Oct 4, 2005
- Last updated
- Mar 1, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1044245 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 3003717 | KY | Primary |
Addresses
Primary practice location
3920 Dutchmans LN
Louisville, KY 40207-4702
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201282770 | Medicaid | IN | |
| 74466129 | Medicaid | KY | |
| 2818457000 | Other | KY | PASSPORT ADVANTAGE |
| 430080220 | Other | KY | RAILROAD MEDICARE |
| 50013922 | Other | KY | PASSPORT |
| 000000283631 | Other | KY | ANTHEM BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044245 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Covenant Anesthesia Group, PC | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
1305 Wall St
Jeffersonvlle, IN 47130
Phone (800) 342-5393
200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055
3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 4
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.
-
dba Ulp ENT
- Otolaryngology Physician
- Louisville, KY
- NPI 1326318973
-
dba ULP Cardiology
- Cardiovascular Disease Physician
- Louisville, KY
- NPI 1215201637
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba MMC Anesthesia Group, PC
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1285621334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074702",
"telephone_number": "502-259-6710",
"fax_number": "502-259-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1044245",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3003717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201282770",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74466129",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2818457000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430080220",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50013922",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000283631",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.