Individual provider Active NPI

Michelle Lee Bridge, APRN

  • Nurse Practitioner
  • Garfield Heights, OH
National Provider Identifier
1437929775
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09230310 Issued in OH
Practice address
12000 McCracken Rd
Garfield Heights, OH 44125-2964
Phone
(216) 223-6350
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09230310 OH Primary

Addresses

Primary practice location

12000 McCracken Rd
Garfield Heights, OH 44125-2964

Mailing address

12000 McCracken Rd
Garfield Heights, OH 44125-2964
Phone (330) 958-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240307002772 OH Practitioner - Nurse Practitioner 6608212006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santibanez Pac Ohio IncGroup PAC ID 7416391545, 36 clinicians

Practice addresses (Care Compare)

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (330) 927-2060

3700 Englewood Dr
Stow, OH 44224-3204
Phone (888) 408-7008

540 Great Oaks TRL
Wadsworth, OH 44281-8799
Phone (330) 336-1141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F09230310OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Ohio Inc Nurse Practitioner CurrentSince Jan 9, 2025 Accepting new patients
Neuro Health and Wellness LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

5200 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1070

12000 McCracken Rd
Ste 357
Garfield Hts, OH 44125
Phone (216) 223-6350

275 E Sunset Dr
Rittman, OH 44270
Phone (330) 927-2060

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1437929775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "330-958-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-223-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "F09230310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.