Individual provider Active NPI

Kelsey Leigh-Ann Bridenbaugh, CNP

  • Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1598411381
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0029012 Issued in OH
Practice address
1510 Columbus Ave Ste 230
Washington Court House, OH 43160-1987
Phone
(740) 779-7500
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 APRN.CNP.0029012 OH Primary

Addresses

Primary practice location

1510 Columbus Ave Ste 230
Washington Court House, OH 43160-1987

Mailing address

2682 Bishop Hill Rd
Chillicothe, OH 45601-9372
Phone (740) 851-9809

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
I20220324002905 OH Practitioner - Nurse Practitioner 1557756715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1987
Phone (740) 333-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029012OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince May 2, 2022 Accepting new patients

Locations

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1510 Columbus Ave
Ste 230
Wshngtn Ct Hs, OH 43160
Phone (740) 333-3333

Interoperability endpoints

  • Direct secure messaging: kbridenbau@yourcarecommunity.org
  • Direct secure messaging: kbridenbaugh1061341@direct.osumc.edu

Organizations & group practices 1

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.

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1598411381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 BISHOP HILL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019372",
            "telephone_number": "740-851-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE STE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601987",
            "telephone_number": "740-779-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDENBAUGH",
        "first_name": "KELSEY",
        "middle_name": "LEIGH-ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.