NPIMap

Individual provider Active NPI

Bridget Ross

  • Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1982012308
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704219782 Issued in MI
Practice address
1484 Straits Dr Ste 5
Bay City, MI 48706-8718
Phone
(989) 667-8740
NPI assigned
Jul 29, 2014
Last updated
Jul 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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 4704219782 MI Primary

Addresses

Primary practice location

1484 Straits Dr Ste 5
Bay City, MI 48706-8718

Mailing address

1484 Straits Dr
Ste 5
Bay City, MI 48706-8718
Phone (989) 667-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141013000098 MI Practitioner - Nurse Practitioner 3779703889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Bay City, MI 48706
Phone (989) 667-8740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704219782MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care Michigan PLLC CurrentSince Aug 5, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Region VII Area Agency on Aging Inc PastSince May 4, 2021 Accepting new patients

Locations

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Interoperability endpoints

  • Direct secure messaging: bridget.ross.1@28492.direct.athenahealth.com
  • Direct secure messaging: bridget.ross.1@32913.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17464/brand/1/csg/1/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1982012308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR",
            "address_2": "STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.