Tisha L Bridge, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110899 Issued in FL

Practice address

5000 Suite B Okeechobee Road
Fort Pierce, FL 34947

Phone

(772) 464-6551

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anchor Home Health Services, LLC Home health agency, Stuart, FL, CCN 107747
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• St Lucie Medical Specialists LLC

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1548447535
  Medicare reassignment Care Compare group
• Jeffrey S Gottfried DO PA

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1164630091
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anchor Home Health Services, LLC

  • Home Health Agency
  • Sewalls Point, FL
  • NPI 1174665293
  Care Compare affiliation
• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1982833745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SUITE B OKEECHOBEE ROAD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475882",
            "telephone_number": "772-464-6551",
            "fax_number": "772-465-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SUITE B OKEECHOBEE ROAD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947",
            "telephone_number": "772-464-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "TISHA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Marie Breighner, RN
• Michael James Brennan, MD, MS
• Brett D Schoch D C P a
• Morgan Rose Brewer
• Brian B. McKnight, M.D.
• Bridges Surgical Group LLC
• Peggy B Brigance, FNP
• Bright Dialysis LLC
• Bright Kidney Care LLC
• Brighten Bay FL LLC

• Physician Assistant in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.