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TYLER ASHTON BRIDGEWATER FNP-C
NPI 1215378377
Nurse Practitioner - Family in Bountiful, UT

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
401 S 400 E, BOUNTIFUL, UT 84010(801) 295-2361 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Ashton Bridgewater Fnp-c NPPES

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

TYLER ASHTON BRIDGEWATER FNP-C (NPI 1215378377) is an individual family provider in Bountiful, Utah, licensed in Utah (7078841-4405) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215378377
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTYLER ASHTON BRIDGEWATERCredential: FNP-C
Location Address401 S 400 EBountiful, UT 84010-4933
Mailing Address976 Foxboro DrNorth Salt Lake, UT 84054-6002 · (801) 244-8968
Phone(801) 295-2361
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2013
✔ NPI 1215378377 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 UT · 7078841-4405
401 S 400 E, Bountiful, UT 84010
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Ashton Bridgewater Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406148444
PECOS Enrollment IDI20240717001650
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 20

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

MARGO EVANS TRS CTRS
Recreation Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 397-8150
ESTHER JULIENE GRANDY TRS, CTRS
Recreation Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 295-2361
PROVIDENTIAL BBA OPERATING LP
Home Health
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 295-2361
MISS BEVERLY LOUISE HOMER MS CCC SLP
Speech-Language Pathologist
401 S 400 E, BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010
Davis County (801) 397-8151
MR. JAY D PARKER OTR L
Occupational Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 397-8151
PROVIDENTIAL BBA OPERATING LP
Nurse Practitioner
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 397-8145
ELLISON M KRUCKENBERG COTA/L
Occupational Therapy Assistant
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 295-2361
DAYNA EPPERSON OTR/L
Occupational Therapist
401 S 400 E
BOUNTIFUL, UT 84010
Davis County (801) 295-2361

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 Tyler Bridgewater's NPI number?

The NPI number for Tyler Bridgewater is 1215378377. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Tyler Bridgewater located?

Tyler Bridgewater practices at 401 S 400 E, Bountiful, UT 84010. The listed phone number is (801) 295-2361.

What is Tyler Bridgewater's specialty?

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

Is Tyler Bridgewater enrolled in Medicare?

Yes. Tyler Bridgewater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Bridgewater accept?

Health plans from Molina Healthcare list Tyler Bridgewater 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.

Is Tyler Bridgewater affiliated with any hospitals?

According to CMS data, Tyler Bridgewater is affiliated with Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Bridgewater was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.