Individual provider Active NPI

Dana Denise Bridges, MS, CRNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1679545412
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R156291 Issued in MD
Practice address
2200 Kernan Drive
Ambulatory Practice B Room G-374
Baltimore, MD 21207
Phone
(410) 448-2485
Fax
(410) 448-6382
NPI assigned
Feb 6, 2006
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 R156291 MD Primary

Addresses

Primary practice location

2200 Kernan Drive
Ambulatory Practice B Room G-374
Baltimore, MD 21207

Mailing address

2200 Kernan Drive
Ambulatory Practice B Room G-374
Baltimore, MD 21207
Phone (410) 448-2485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080327000403 MD Practitioner - Nurse Practitioner 6608952825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Sep 16, 2014 Accepting new patients
Luminis Health Community Clinics, LLC CurrentSince Sep 16, 2014 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 27, 2014 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 27, 2014 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Dec 20, 2023 Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Dec 20, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1419 Forest Dr
Annapolis, MD 21403
Phone (410) 990-0050

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Rm W1L305
Baltimore, MD 21201

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

Organizations & group practices 8

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1679545412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DRIVE",
            "address_2": "AMBULATORY PRACTICE B ROOM G-374",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-448-2485",
            "fax_number": "410-448-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DRIVE",
            "address_2": "AMBULATORY PRACTICE B ROOM G-374",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "telephone_number": "410-448-2485",
            "fax_number": "410-448-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DANA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MS, CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R156291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.