Individual provider Active NPI

Bridget Leann Winn, NP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1912485590
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138314 Issued in TX
Practice address
4102 24TH St Ste 101
Lubbock, TX 79410-1800
Phone
(806) 725-7878
Fax
(806) 723-6042
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 AP138314 TX Primary

Addresses

Primary practice location

4102 24TH St Ste 101
Lubbock, TX 79410-1800

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Other practice location 1

610 S 1st St
Muleshoe, TX 79347-3625
Phone (806) 272-3593

Other identifiers 3

IdentifierTypeStateIssuer
33382867MedicaidNM
8KE844OtherTXBCBS
731558OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181115000296 TX Practitioner - Nurse Practitioner 4789938432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

4102 24TH St
Suite 101
Lubbock, TX 79410-1828
Phone (806) 797-4422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138314TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone OB-GYN PLLC CurrentSince Jan 1, 2024 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC CurrentSince Jan 2, 2019 Accepting new patients
Fertility Specialists of Dallas, PA Past Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

4000 22nd Pl
Ste 100
Lubbock, TX 79410
Phone (806) 725-7070

3410 Knoxville Ave
Lubbock, TX 79413
Phone (806) 224-8617

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.

Hospital & facility affiliations 2

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1912485590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 24TH ST STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101800",
            "telephone_number": "806-725-7878",
            "fax_number": "806-723-6042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Muleshoe",
            "state": "TX",
            "postal_code": "793473625",
            "country_code": "US",
            "telephone_number": "806-272-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINN",
        "first_name": "BRIDGET",
        "middle_name": "LEANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33382867",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8KE844",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "731558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.