NPIMap

Individual provider Active NPI

Bridget Colleen Fox, CRNP

  • Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1609422351
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020658 Issued in PA
Practice address
521 Mt Pleasant Dr Ste 101
Scranton, PA 18503-1993
Phone
(570) 346-7338
Fax
(570) 341-3025
NPI assigned
Aug 16, 2019
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020658 PA
Nurse Practitioner 363L00000X SP020658 PA Primary

Addresses

Primary practice location

521 Mt Pleasant Dr Ste 101
Scranton, PA 18503-1993

Mailing address

1110 Paul Ave
Dunmore, PA 18510-1479
Phone (570) 877-7386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bridget.fox.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918003696 PA Practitioner - Nurse Practitioner 6002146909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020658PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Scranton Quincy Clinic Company LLC Family CurrentSince Jun 15, 2023 Accepting new patients
Geisinger Clinic CurrentSince Sep 30, 2019 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jun 15, 2023 Accepting new patients
Geisinger Clinic CurrentSince Sep 30, 2019 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

521 Mt Pleasant Dr
Ste 101
Scranton, PA 18503
Phone (570) 346-7338

Interoperability endpoints

  • Direct secure messaging: bfox192782@direct.geisinger.edu
  • Direct secure messaging: bridget.fox.1@21771.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1609422351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PAUL AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101479",
            "telephone_number": "570-877-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR STE 101",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031993",
            "telephone_number": "570-346-7338",
            "fax_number": "570-341-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BRIDGET",
        "middle_name": "COLLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020658",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.fox.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "521 Mt Pleasant Dr Ste 101",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.