Active NPI
Rachel Bridgemohan, APRN
- Nurse Practitioner
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 005186
- Practice address
- 25 Newell Rd
Suite E 36
Bristol, CT 06010-5100 - Phone
- (860) 583-9252
- Fax
- (860) 585-9848
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005186 | CT | Primary |
Addresses
Primary practice location
25 Newell Rd
Suite E 36
Bristol, CT 06010-5100
Mailing address
25 Newell Rd
Suite E 36
Bristol, CT 06010-5100
Phone (860) 583-9252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005186 | Other | CT | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000655 | CT | Practitioner - Nurse Practitioner | 0446494314 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Connecticut Gi PLLC
Practice addresses (Care Compare)
105 Wawecus St
Norwich, CT 06360-2146
Phone (860) 859-9061
85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571
Hospital & facility affiliations
- William W Backus Hospital
- Windham Community Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 89.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Connecticut Gi PLLC | Nurse Practitioner | Current | Accepting new patients |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
25 Newell Rd
Ste E36
Bristol, CT 06010
Phone (860) 583-9252
21 South Rd
Ste 100
Farmington, CT 06032
Phone (860) 409-4567
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
105 Wawecus St
Ste A
Norwich, CT 06360
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
Interoperability endpoints
- rachel.bridgemohan@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
CT, Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1811240740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEWELL RD",
"address_2": "SUITE E 36",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105100",
"telephone_number": "860-583-9252",
"fax_number": "860-585-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NEWELL RD",
"address_2": "SUITE E 36",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105100",
"telephone_number": "860-583-9252",
"fax_number": "860-585-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEMOHAN",
"first_name": "RACHEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "005186",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.