Active NPI
Bridgette Stephanie Nelson, CRNP
- Adult Health Nurse Practitioner
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP011533
- Practice address
- 3091 Enterprise Dr Ste 202
State College, PA 16801-3099 - Phone
- (610) 570-5639
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP011533 | PA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP021290 | PA |
Addresses
Primary practice location
3091 Enterprise Dr Ste 202
State College, PA 16801-3099
Mailing address
175 W Cohawkin Rd Ste C
Clarksboro, NJ 08020-1145
Phone (856) 423-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3091 Enterprise Dr
Building D Suite 202
State College, PA 16801-3099
Phone (814) 954-7819
515 W Linden St
FL 4
Allentown, PA 18101-1426
Phone (484) 225-4323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011533 | PA | MD | Adult Health Nurse Practitioner |
| SP021290 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bet-El Counseling Services, Inc | Current | Accepting new patients | |
| B Nelson LLC | Adult Health | Current | Accepting new patients |
| Preventive Measures, LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| The Visiting Nurse Association of Greater Philadelphia | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
175 W Cohawkin Rd
Ste C
Clarksboro, NJ 08020
515 W Linden St
Allentown, PA 18101
Phone (484) 225-4323
515 W Linden St
Fl 4
Allentown, PA 18101
Phone (484) 225-4323
243 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3708
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
1169 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 343-7373
3091 Enterprise Dr
Ste 202
State College, PA 16801
Phone (610) 570-5639
3091 Enterprise Dr
Bldg D
State College, PA 16801
Phone (814) 954-7819
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- State College, PA
- NPI 1770173858
Adult Health
-
- Community/Behavioral Health Agency
- Allentown, PA
- NPI 1235470857
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
PA, Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
- NPI 1922277946
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1164653341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1467735647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W COHAWKIN RD STE C",
"city": "CLARKSBORO",
"state": "NJ",
"postal_code": "080201145",
"telephone_number": "856-423-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 ENTERPRISE DR STE 202",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168013099",
"telephone_number": "610-570-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BRIDGETTE",
"middle_name": "STEPHANIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP011533",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP021290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.