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JEAN BRIDWELL
NPI 1104992965
Nurse Practitioner - Family in Davis, WV

Active since November 25, 2006PECOS Enrolled
6368 APPALACHIAN HIGHWAY, DAVIS, WV 26260(304) 478-3339 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Sep 23, 2021, Mar 2, 2021 and 2 more (5 updates tracked since 2018).

About Jean Bridwell NPPES

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

JEAN BRIDWELL (NPI 1104992965) is an individual family provider in Davis, West Virginia, licensed in West Virginia (67358) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104992965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN BRIDWELL
Location Address6368 APPALACHIAN HIGHWAYDavis, WV 26260
Mailing Address8591 Holly Meadows RdParsons, WV 26287-8604 · (304) 478-3339
Phone(304) 478-3339
Sole ProprietorNo
Enumeration DateNovember 25, 2006
Last NPPES UpdateJune 15, 20225 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1104992965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 67358
6368 APPALACHIAN HIGHWAY, Davis, WV 26260
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jean Bridwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Mountain Health Physicians, Inc.
17 mi
Family Medicine
100 HOSPITAL DR STE 1
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
NPI 1093219628 (304) 257-1944
Jefferson Urgent Care, LLC
88 mi
General Practice
84 SOMERSET BLVD
Charles Town, WV 25414
  • Reassigned Medicare billing, West Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1992726236 (304) 728-8543

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$52.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims22 services$202.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON KAUFFMAN PA-C
Physician Assistant (Medical)
6368 APPALACHIAN HIGHWAY
DAVIS, WV 26260
Tucker County (304) 478-3339

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 Jean Bridwell's NPI number?

The NPI number for Jean Bridwell is 1104992965. It was assigned to this individual provider in the NPPES registry on November 25, 2006.

Where is Jean Bridwell located?

Jean Bridwell practices at 6368 Appalachian Highway, Davis, WV 26260. The listed phone number is (304) 478-3339.

What is Jean Bridwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jean Bridwell enrolled in Medicare?

Yes. Jean Bridwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jean Bridwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Bridwell reassigns Medicare benefits to 2 organizations: East Mountain Health Physicians, Inc. (Petersburg, WV) and Jefferson Urgent Care, LLC (Charles Town, WV). Each 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 Jean Bridwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Bridwell accept?

Health plans from CareSource list Jean Bridwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jean Bridwell was last updated on June 15, 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.