Individual provider Active NPI

Bridgette B Obinku, APRN, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1396407631
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056877 Issued in TX
Practice address
1601 N Anglin St
Cleburne, TX 76031-1835
Phone
(817) 579-4400
NPI assigned
Oct 13, 2021
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 1056877 TX Primary

Addresses

Primary practice location

1601 N Anglin St
Cleburne, TX 76031-1835

Mailing address

1601 N Anglin St
Cleburne, TX 76031-1835
Phone (817) 579-4400

Other practice location 1

401 Fox Hollow
Venus, TX 76084-3120
Phone (414) 305-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220127001576 TX Practitioner - Nurse Practitioner 6406248210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

Granbury, TX 76048
Phone (817) 579-4400

104 Pirate Dr
Granbury, TX 76048-5682
Phone (817) 573-2662

906 W Lingleville Rd
Stephenville, TX 76401-2118
Phone (254) 968-4181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1056877TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Valley MHMR Region CurrentSince Mar 30, 2023 Accepting new patients
Pecan Valley MHMR Region Family CurrentSince Mar 30, 2023 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Locations

1601 N Anglin St
Cleburne, TX 76031
Phone (817) 202-2732

2101 W Pearl St
Granbury, TX 76048
Phone (817) 552-2007

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGADD/Endpoint/JBGADD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1396407631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760311835",
            "telephone_number": "817-579-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760311835",
            "telephone_number": "817-579-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Fox Hollow",
            "address_purpose": "LOCATION",
            "city": "Venus",
            "state": "TX",
            "postal_code": "760843120",
            "country_code": "US",
            "telephone_number": "414-305-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBINKU",
        "first_name": "BRIDGETTE",
        "middle_name": "B",
        "credential": "APRN, FNP-C, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.