NPIMap

Individual provider Active NPI

Charla Bridgers, APRN-CNP

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1831556018
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212001 Issued in OK
Practice address
3811 W Gore Blvd Ste 10
Lawton, OK 73505-6328
Phone
(580) 510-7076
Fax
(580) 510-7081
NPI assigned
Jan 20, 2016
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 212001 OK Primary
Registered Nurse 163W00000X R0080885 OK

Addresses

Primary practice location

3811 W Gore Blvd Ste 10
Lawton, OK 73505-6328

Mailing address

RR 3 Box 155
Walters, OK 73572-9530
Phone (580) 483-7261

Other names 1

  • Charla Candace Wauqua Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230531003765 OK Practitioner - Nurse Practitioner 2466819768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 W Gore Blvd
Lawton, OK 73505-6332

5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0080885OKMDRegistered Nurse
212001OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Comanche County Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Apex Wound Specialists LLC CurrentSince Aug 25, 2024 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients

Locations

513 Hillery Rd
Ste C
Comanche, OK 73529
Phone (580) 439-2000

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500

3811 W Gore Blvd
Ste 10
Lawton, OK 73505
Phone (580) 250-6651

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957

Interoperability endpoints

  • Direct secure messaging: charla.bridgers@lawtoncommunityhealthcenter.eclinicaldirectplus.com

Organizations & group practices 6

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 8

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1831556018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 155",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735729530",
            "telephone_number": "580-483-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W GORE BLVD STE 10",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056328",
            "telephone_number": "580-510-7076",
            "fax_number": "580-510-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGERS",
        "first_name": "CHARLA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0080885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLA",
            "last_name": "WAUQUA",
            "middle_name": "CANDACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.