RAETTA DAWN BRIDGES FNP
NPI 1245923622
Nurse Practitioner - Primary Care in Mineral Wells, TX

Q: What is Raetta Bridges's NPI number?

The NPI number for Raetta Bridges is 1245923622. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Q: What is Raetta Bridges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Raetta Bridges was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 31, 2023PECOS EnrolledAccepts Medicare Assignment

400 SW 25TH AVE, MINERAL WELLS, TX 76067(940) 325-7891 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, May 31, 2023 (2 updates tracked since 2023).

On this page

About Raetta Dawn Bridges Fnp NPPES

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

RAETTA DAWN BRIDGES FNP (NPI 1245923622) is an individual primary care provider in Mineral Wells, Texas, licensed in Texas (1126344) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Palo Pinto General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245923622

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameRAETTA DAWN BRIDGESCredential: FNP

Location Address400 SW 25TH AVEMineral Wells, TX 76067-8246

Mailing Address400 Sw 25th AveMineral Wells, TX 76067-8246 · (940) 325-7891

Phone(940) 325-7891

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 31, 2023

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1245923622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · 1126344

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 856097 (TX)

400 SW 25TH AVE, Mineral Wells, TX 76067

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Raetta Dawn Bridges Fnp 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 ID7214390657

PECOS Enrollment IDI20230831003647

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.

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450565

Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76067 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

PALO PINTO COUNTY HOSPITAL DISTRICT

Clinic/Center