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BRIDGEWAY, INC
NPI 1023231537
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kewanee, IL

Active since April 11, 2007CLIA 14D2090508 · Waiver
1023 DEWEY AVE, KEWANEE, IL 61443(309) 852-7189(309) 853-8015 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 19, 2019, Apr 12, 2018 (3 updates tracked since 2018).

About Bridgeway, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWAY, INC (NPI 1023231537) is a healthcare organization registered as a mental health (including community mental health center) in Kewanee, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists William Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023231537
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIDGEWAY, INC
Location Address1023 DEWEY AVEKewanee, IL 61443-3205
Mailing Address2323 Windish DrGalesburg, IL 61401-9780 · (309) 344-2323
Phone(309) 852-7189
Fax(309) 853-8015
Organization SubpartNo
Authorized OfficialWilliam NelsonCeo · (309) 344-2323
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1023231537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 035 (IL)
1023 DEWEY AVE, Kewanee, IL 61443
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgeway, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Bridgeway, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Rebekah Dees-Mcmahon, D. MIN..
Mental Health Counselor
NPI 1073904348
137 E COLLEGE ST
Kewanee, IL 61443
(309) 852-4331
✔ PECOS✔ Accepts Medicare1.4 mi
Stacy Brown, LCPC
Mental Health Counselor
NPI 1265976385
2323 WINDISH DRIVE
Galesburg, IL 61401
(309) 344-4265
✔ PECOS✔ Accepts Medicare28 mi
Lindsay Garmon, CNP, PMHNP-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1205608577
2323 WINDISH DR
Galesburg, IL 61401
(309) 344-2323
✔ PECOS✔ Accepts Medicare28 mi
Mary Mcelwain
Mental Health Counselor
NPI 1851717011
2323 WINDISH DR
Galesburg, IL 61401
(309) 344-2323
✔ PECOS✔ Accepts Medicare28 mi
Lourdes Delgado Serrano, MD
Psychiatry
NPI 1508834839
DEPT OF PEDIATRICS 320 E ARMSTRONG
Peoria, IL 61603
(309) 624-9587
✔ PECOS✔ Accepts Medicare41 mi
Melissa Simmons
Mental Health Counselor
NPI 1740607522
1003 MARTIN LUTHER KING DR
Bloomington, IL 61701
(309) 827-6026
✔ PECOS71 mi
Amy Taylor, MA
Mental Health Counselor
NPI 1467937391
5342 W ELM ST
Mchenry, IL 60050
(847) 931-2340
✔ PECOS✔ Accepts Medicare115 mi
Maria Linden, M.D.
Psychiatry
NPI 1316137490
2640 W POINT RD
Green Bay, WI 54304
(920) 490-3790
✔ PECOS✔ Accepts Medicare245 mi
Mark Brothe, MA, CRC
Mental Health Counselor
NPI 1447851373
1300 N 17TH AVE
Greeley, CO 80631
(970) 347-2120
✔ PECOS✔ Accepts Medicare774 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2090508

Bridgeway Inc · Galesburg, IL
Active · expires Jan 25, 2027
CLIA Number14D2090508
Laboratory TypeOtpt Substance Abuse Trmt
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorStacy Brown
Laboratory Phone(309) 344-2323
Laboratory LocationBridgeway Inc2323 Windish Dr, Galesburg, IL 61401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeway, Inc's NPI number?

The NPI number for Bridgeway, Inc is 1023231537. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Bridgeway, Inc located?

Bridgeway, Inc is located at 1023 Dewey Ave, Kewanee, IL 61443. The listed phone number is (309) 852-7189.

What is Bridgeway, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Bridgeway, Inc enrolled in Medicare?

Yes. Bridgeway, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgeway, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Bridgeway, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6), Psychiatry (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bridgeway, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2090508) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgeway, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.