Individual provider Active NPI

Eileen Bridges, M.A.,CCC-A

  • Audiologist-Hearing Aid Fitter
  • East Lansing, MI
National Provider Identifier
1366631012
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
EB000336 Issued in MI
Practice address
2045 Asher CT
East Lansing, MI 48823-8444
Phone
(517) 332-0285
Fax
(517) 332-0356
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X EB000336 MI Primary

Addresses

Primary practice location

2045 Asher CT
East Lansing, MI 48823-8444

Mailing address

2045 Asher CT
East Lansing, MI 48823-8444
Phone (517) 332-0285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000502 MI Practitioner - Qualified Audiologist 5799859153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Ear Nose and Throat PCGroup PAC ID 1052363801, 25 clinicians

Practice addresses (Care Compare)

1500 Abbott Rd
Suite 400
East Lansing, MI 48823-1956
Phone (517) 324-4911

Merit-based Incentive Payment System (MIPS)

Final score
83.49 of 100Reported as group
Quality
89.95
Promoting interoperability
84
Improvement activities
40
Cost
68.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
EB000336MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Ear Nose and Throat PC CurrentSince Jul 11, 2008 Accepting new patients
Mid Michigan Ear Nose & Throat, P.C. Past Accepting new patients

Locations

2045 Asher Ct
East Lansing, MI 48823
Phone (517) 332-0285

1500 Abbott Rd
Ste 400
East Lansing, MI 48823
Phone (517) 324-4911

Interoperability endpoints

  • Direct secure messaging: eileenbridges@mmentpc.allscriptsdirect.net

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1366631012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-332-0285",
            "fax_number": "517-332-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-332-0285",
            "fax_number": "517-332-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "EILEEN",
        "credential": "M.A.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "EB000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.