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BRIDGEWAY INC
NPI 1346524899
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pekin, IL

Active since October 03, 2011
2079 EDGEWATER DR, PEKIN, IL 61554(309) 382-2006(309) 382-2007 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2022, Aug 19, 2019, Sep 12, 2018 and 1 more (4 updates tracked since 2018).

About Bridgeway Inc NPPES

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

BRIDGEWAY INC (NPI 1346524899) is a healthcare organization registered as a mental health (including community mental health center) in Pekin, Illinois and active in the NPI registry since October 2011. The organization maintains a secondary practice location in Pekin and lists William Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346524899
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIDGEWAY INC
Location Address2079 EDGEWATER DRPekin, IL 61554
Mailing Address2079 Edgewater DrPekin, IL 61554-7833 · (309) 382-2006 · Fax (309) 382-2007
Phone(309) 382-2006
Fax(309) 382-2007
Organization SubpartNo
Authorized OfficialWilliam NelsonCeo · (309) 344-2323
Enumeration DateOctober 3, 2011
Last NPPES UpdateJuly 25, 20224 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1346524899 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 04016 (IL)
2079 EDGEWATER DR, Pekin, IL 61554
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Secondary Practice Location 1

Location 12079 Edgewater DrPekin, IL 61554 · Phone (309) 382-2006 · Fax (309) 382-2007

Other Identifiers 2

Medicaid04016IL
OtherAC 217/557-9285IL · Medicare Certification

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)

Lourdes Delgado Serrano, MD
Psychiatry
NPI 1508834839
DEPT OF PEDIATRICS 320 E ARMSTRONG
Peoria, IL 61603
(309) 624-9587
✔ PECOS✔ Accepts Medicare6.8 mi
Melissa Simmons
Mental Health Counselor
NPI 1740607522
1003 MARTIN LUTHER KING DR
Bloomington, IL 61701
(309) 827-6026
✔ PECOS32 mi
Rebekah Dees-Mcmahon, D. MIN..
Mental Health Counselor
NPI 1073904348
137 E COLLEGE ST
Kewanee, IL 61443
(309) 852-4331
✔ PECOS✔ Accepts Medicare46 mi
Stacy Brown, LCPC
Mental Health Counselor
NPI 1265976385
2323 WINDISH DRIVE
Galesburg, IL 61401
(309) 344-4265
✔ PECOS✔ Accepts Medicare47 mi
Lindsay Garmon, CNP, PMHNP-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1205608577
2323 WINDISH DR
Galesburg, IL 61401
(309) 344-2323
✔ PECOS✔ Accepts Medicare47 mi
Mary Mcelwain
Mental Health Counselor
NPI 1851717011
2323 WINDISH DR
Galesburg, IL 61401
(309) 344-2323
✔ PECOS✔ Accepts Medicare47 mi
Amy Taylor, MA
Mental Health Counselor
NPI 1467937391
5342 W ELM ST
Mchenry, IL 60050
(847) 931-2340
✔ PECOS✔ Accepts Medicare138 mi
Maria Linden, M.D.
Psychiatry
NPI 1316137490
2640 W POINT RD
Green Bay, WI 54304
(920) 490-3790
✔ PECOS✔ Accepts Medicare281 mi
Mark Brothe, MA, CRC
Mental Health Counselor
NPI 1447851373
1300 N 17TH AVE
Greeley, CO 80631
(970) 347-2120
✔ PECOS✔ Accepts Medicare793 mi

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

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 1346524899. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Bridgeway Inc located?

Bridgeway Inc is located at 2079 Edgewater Dr, Pekin, IL 61554. The listed phone number is (309) 382-2006.

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.

When was this NPI record last updated?

The NPPES record for Bridgeway Inc was last updated on July 25, 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.