BRIDGES EMOTIONAL WELLNESS CLINIC, INC
NPI 1437375888
Social Worker - Clinical in Fort Wayne, IN
About Bridges Emotional Wellness Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGES EMOTIONAL WELLNESS CLINIC, INC (NPI 1437375888) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since April 2007. The organization lists Agnes Cecilia Osterholt-polston, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridges Emotional Wellness Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridges Emotional Wellness Clinic, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bridges Emotional Wellness Clinic, Inc's NPI number?
The NPI number for Bridges Emotional Wellness Clinic, Inc is 1437375888. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Bridges Emotional Wellness Clinic, Inc located?
Bridges Emotional Wellness Clinic, Inc is located at 4235 Flagstaff Cove, Fort Wayne, IN 46815. The listed phone number is (260) 969-6600.
What is Bridges Emotional Wellness Clinic, Inc's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Bridges Emotional Wellness Clinic, Inc enrolled in Medicare?
Yes. Bridges Emotional Wellness Clinic, Inc is registered in the Medicare PECOS enrollment system.
When is Bridges Emotional Wellness Clinic, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bridges Emotional Wellness Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bridges Emotional Wellness Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bridges Emotional Wellness Clinic, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Bridges Emotional Wellness Clinic, Inc 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 Bridges Emotional Wellness Clinic, Inc was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Bridges Emotional Wellness Clinic, Inc · NPI 1437375888
Clinical organization in Fort Wayne, Indiana. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1437375888 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Agnes Osterholt-Polston, PRESIDENT
## Practice location
- **Address:** 4235 FLAGSTAFF COVE, Fort Wayne, IN 46815-4418
- **Phone:** (260) 969-6600 · **Fax:** (260) 969-6601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2008
- **Other identifiers:** Medicare PIN 216230 (IN); Medicaid 200373680 (IN); Medicare ID-Type Unspecified 216260 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1437375888) · Data from the CMS NPPES public registry.