Individual provider Active NPI

Bridgid Neptune, NP

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1831619170
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP171052 Issued in ME
Practice address
100 Campus Dr Unit 107
Scarborough, ME 04074-7172
Phone
(207) 396-7683
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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 CNP171052 ME Primary

Addresses

Primary practice location

100 Campus Dr Unit 107
Scarborough, ME 04074-7172

Mailing address

39 Pine St Apt 1
Portland, ME 04102-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180131001411 ME Practitioner - Nurse Practitioner 0648530212 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP171052MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1831619170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PINE ST APT 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041025302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR UNIT 107",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747172",
            "telephone_number": "207-396-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPTUNE",
        "first_name": "BRIDGID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.