Individual provider Active NPI

Bridget Martin-Slocum, ACNP-AG

  • Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1912458563
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
431039 Issued in NY
Practice address
201 Dates Dr Ste 301
Ithaca, NY 14850-1345
Phone
(607) 882-2277
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 431039 NY Primary

Addresses

Primary practice location

201 Dates Dr Ste 301
Ithaca, NY 14850-1345

Mailing address

201 Dates Dr Ste 301
Ithaca, NY 14850-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250919001036 NY Practitioner - Nurse Practitioner 7810344785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

220 Steuben St
Montour Falls, NY 14865-9709

7187 Jacksonville Rd
Trumansburg, NY 14886-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senf NP Family Medicine PLLC CurrentSince Sep 15, 2025 Accepting new patients
New York State Medical Health Services PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

10421 State Route 40
Ste 300
Granville, NY 12832

301 Mill Rd
Ste U5
Hewlett, NY 11557

50 Main St
Ste 10000
White Plains, NY 10606

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1912458563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DATES DR STE 301",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DATES DR STE 301",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501345",
            "telephone_number": "607-882-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-SLOCUM",
        "first_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "ACNP-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "431039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.