Individual provider Active NPI

Bridget M Viens, PA-C

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1982885356
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0220 Issued in NH
Practice address
67 Corporate Drive
3Rd Floor
Portsmouth, NH 03801-2847
Phone
(603) 610-8050
Fax
(603) 431-9945
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0220 NH Primary

Addresses

Primary practice location

67 Corporate Drive
3Rd Floor
Portsmouth, NH 03801-2847

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-4478

Other identifiers 1

IdentifierTypeStateIssuer
3092097MedicaidNH

Other names 1

  • Bridget M Bettencourt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20080123000539 NH Practitioner - Physician Assistant 1850473380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

67 Corporate Dr
Portsmouth, NH 03801-2847

73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

  • Cornerstone Vna Home health agency, Rochester, NH, CCN 307022
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0220NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc CurrentSince Apr 26, 2012 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jul 31, 2017 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

73 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 610-8050

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: viens.bridget.wdh@direct.partners.masshiway.net

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 4

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1982885356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-4478",
            "fax_number": "603-431-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CORPORATE DRIVE",
            "address_2": "3RD FLOOR",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012847",
            "telephone_number": "603-610-8050",
            "fax_number": "603-431-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENS",
        "first_name": "BRIDGET",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092097",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "BETTENCOURT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.