Active NPI
Bridget Peurach, AGNP-C, AGPCNP-BC
- Gerontology Nurse Practitioner
- East Palatka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11035825
- Practice address
- 215 S US Highway 17
East Palatka, FL 32131-4087 - Phone
- (386) 232-9203
- Fax
- (386) 222-3064
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11035825 | FL | Primary |
Addresses
Primary practice location
215 S US Highway 17
East Palatka, FL 32131-4087
Mailing address
209 Pinehurst Pointe Dr
St Augustine, FL 32092-3703
Phone (386) 232-9203
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bthoma44@emich.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
215 S US Hwy 17
East Palatka, FL 32131-4087
Phone (386) 232-9203
Hospital & facility affiliations
- HCA Florida Putnam Hospital
- Flagler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Endovascular Institute | Single Specialty | Current | Accepting new patients |
| Ansaarie Cardiac & Endovascular Center of Excellence | Single Specialty | Current | Accepting new patients |
Locations
215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203
1301 Plantation Island Dr S
Ste 401A
Saint Augustine, FL 32080
Phone (386) 232-9203
Interoperability endpoints
- bpeurach755277@direct.shands.ufl.edu
- https://fhir4.healow.com/fhir/r4/CGGIAD
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.
-
- Cardiovascular Disease Physician
- East Palatka, FL
- NPI 1346791498
Single Specialty
-
- Cardiovascular Disease Physician
- St Augustine, FL
- NPI 1497361943
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1780298562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PINEHURST POINTE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923703",
"telephone_number": "386-232-9203",
"fax_number": "386-222-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S US HIGHWAY 17",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "321314087",
"telephone_number": "386-232-9203",
"fax_number": "386-222-3064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEURACH",
"first_name": "BRIDGET",
"credential": "AGNP-C, AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11035825",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bthoma44@emich.edu",
"affiliation": "N",
"address_1": "6051 Alexa Ln",
"city": "Sylvania",
"state": "OH",
"country_code": "US",
"postal_code": "435603607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.