Holly M Bridges, CFNP
Individual provider Active NPI Family Nurse Practitioner · Jackson, MS
NPI 1780988949 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1780988949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R881189 (MS)
- Practice address
- 970 Lakeland Dr
Suite 61
Jackson, MS 39216-4635 - Phone
- (601) 982-7850
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Center
Jackson Heart Clinic. P.a.
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
970 Lakeland Dr
Suite 61
Jackson, MS 39216-4634
Phone (601) 982-7850
Hospital & facility affiliations
- King'S Daughters Medical Center-Brookhaven
- St Dominic-Jackson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.07 of 100
- Quality
- 74.67
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130418000433 | MS | Practitioner - Nurse Practitioner | 8022254960 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current |
Accepting new patients | |
| King'S Daughters Medical Center | Current |
Accepting new patients | |
| Trustcare Primary Care, LLC | Past |
Accepting new patients |
Locations
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R881189 | MS | Yes |
Addresses
Primary practice location
970 Lakeland Dr
Suite 61
Jackson, MS 39216-4635
Mailing address
970 Lakeland Dr Ste 61
Jackson, MS 39216-4682
Phone (601) 982-7850
Other providers in Jackson, MS
- Bridgecare Health Navigators, LLC
- Sarah Grace Bridgeman
- Callie Bridges
- Darby Grace Bridges
- Eric W. Bridges
- James Luke Bridges
- Joseph Scott Bridges
- Matthew Hankins Bridges
- Zachary Bridges
- Brigetta K. Turner, D.D.S., PLLC
All providers in Jackson, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.