Individual provider Active NPI

Bridget Joseph

  • Nurse Practitioner
  • Kendallville, IN
National Provider Identifier
1356854749
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007694A Issued in IN
Practice address
512 Professional Way
Kendallville, IN 46755-2927
Phone
(260) 347-8556
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28198071A IN
Nurse Practitioner 363L00000X 71007694A IN Primary

Addresses

Primary practice location

512 Professional Way
Kendallville, IN 46755-2927

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice location 1

442 W High St
Bryan, OH 43506-1681
Phone (419) 636-4517

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bjoseph122233@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20180131000266 IN Practitioner - Nurse Practitioner 5597025148 Reassigns benefits to 3 organizations
I20241115001010 OH Practitioner - Nurse Practitioner 5597025148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

512 N Professional Way
PPG Psychiatry
Kendallville, IN 46755-2927
Phone (260) 347-8556

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28198071AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Community Health Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Pic Indiana PC CurrentSince Dec 23, 2022 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Parkview Health System Inc Nurse Practitioner CurrentSince Feb 28, 2018 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102

1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

Interoperability endpoints

  • Direct secure messaging: bjoseph122233@direct.parkviewexchange.com

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 1

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1356854749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 PROFESSIONAL WAY",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552927",
            "telephone_number": "260-347-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061681",
            "country_code": "US",
            "telephone_number": "419-636-4517",
            "fax_number": "419-636-6438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28198071A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007694A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjoseph122233@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "512 Professional Way",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kendallville, IN

Sources for this page

Verify at the official NPI Registry.