Individual provider Active NPI

Bridgette Nicole Leroy, DNP, FNP-BC

  • Family Nurse Practitioner
  • Granger, IN
National Provider Identifier
1316819097
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017957A Issued in IN
Practice address
130 E Cleveland Rd
Granger, IN 46530-5620
Phone
(574) 247-2221
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71017957A IN Primary
Family Nurse Practitioner 363LF0000X 2025066197 MI

Addresses

Primary practice location

130 E Cleveland Rd
Granger, IN 46530-5620

Mailing address

1399 W Centre Ave
Portage, MI 49024-5300
Phone (269) 615-1657

Other practice location 1

1399 W Centre Ave
Portage, MI 49024-5300
Phone (269) 615-1657

Other names 1

  • Bridgette Nicole Pernie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20251119000400 MI Practitioner - Nurse Practitioner 7618468513 Reassigns benefits to 1 organization
I20260421004171 IN Practitioner - Nurse Practitioner 7618468513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
Infusion Associates PLLCGroup PAC ID 0840185203, 18 clinicians

Practice addresses (Care Compare)

130 E Cleveland Rd
Granger, IN 46530-5620
Phone (866) 389-2727

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71017957AINMDFamily Nurse Practitioner
2025066197MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Associates PLLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103

3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525

4343 Chicago Dr SW
Grandville, MI 49418

1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1316819097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245300",
            "telephone_number": "269-615-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E CLEVELAND RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305620",
            "telephone_number": "574-247-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 W Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490245300",
            "country_code": "US",
            "telephone_number": "269-615-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROY",
        "first_name": "BRIDGETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017957A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2025066197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "PERNIE",
            "middle_name": "NICOLE",
            "credential": "DNP, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.