| Mrs Kelli Nicole Bridgman, NP | |
|
201 W Plymouth Ave, Deland, FL 32720-2753 | |
| (386) 873-2963 | |
| Not Available |
| Full Name | Mrs Kelli Nicole Bridgman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 201 W Plymouth Ave, Deland, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588841977 | NPI | - | NPPES |
| 448879182A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11011937 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | APRN11011937 (Florida) | Secondary |
| Entity Name | Florida Institute of Pain Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194056283 PECOS PAC ID: 4385769686 Enrollment ID: O20181127000946 |
| Entity Name | Psychiatric Services of Daytona Plcc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891373601 PECOS PAC ID: 7012310485 Enrollment ID: O20210722001197 |
| Entity Name | Maison Cura LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962367219 PECOS PAC ID: 9739668781 Enrollment ID: O20260210000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelli Nicole Bridgman, NP 201 W Plymouth Ave, Deland, FL 32720-2753 Ph: (386) 873-2963 | Mrs Kelli Nicole Bridgman, NP 201 W Plymouth Ave, Deland, FL 32720-2753 Ph: (386) 873-2963 |
Deborah Vega Darnell, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 |
Ashley Roequel Welcome, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Industrial Dr, Deland, FL 32724 Phone: 888-803-8101 Fax: 877-508-0655 |
Dr. Mary Theresa Izzo, PHD, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Plymouth Ave, Deland, FL 32720 Phone: 386-740-7080 Fax: 386-734-0821 |
April Summerford Frahm, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1590 S Sr 15a, Deland, FL 32720 Phone: 386-774-0016 |
Lisa Cunningham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 685 Peachwood Dr, Deland, FL 32720 Phone: 386-736-3463 Fax: 386-736-3492 |
Mrs. Rachel Ellen Hart, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 937 N Spring Garden Ave, Deland, FL 32720 Phone: 386-736-1948 Fax: 386-734-4571 |
Debbie Hinson Fisher, ARNP-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 2nd Ave, 720 2nd Ave, Deland, FL 32724 Phone: 386-561-0383 |