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SHANE BRIDGMAN DNP, APRN, AGNP-BC
NPI 1447762380
Nurse Practitioner - Adult Health in Grand Island, FL

Active since November 01, 2017PECOS Enrolled
36624 GRAND ISLAND OAKS CIR, GRAND ISLAND, FL 32735(352) 801-9272(908) 274-2081 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, May 20, 2025, Mar 4, 2025 and 15 more (18 updates tracked since 2017).

About Shane Bridgman Dnp, Aprn, Agnp-bc NPPES

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

SHANE BRIDGMAN DNP, APRN, AGNP-BC (NPI 1447762380) is an individual adult health provider in Grand Island, Florida, licensed in Florida (APRN9325995) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447762380
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameSHANE BRIDGMANCredential: DNP, APRN, AGNP-BC
Location Address36624 GRAND ISLAND OAKS CIRGrand Island, FL 32735-9653
Mailing Address36624 Grand Island Oaks CirGrand Island, FL 32735-9653 · (352) 801-9272 · Fax (908) 274-2081
Phone(352) 801-9272
Fax(908) 274-2081
Sole ProprietorNo
Enumeration DateNovember 1, 2017
Last NPPES UpdateDecember 15, 202518 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1447762380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN9325995
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2024045190 (MO), 291383 (AZ), 1112411 (TX), 4035372 (KY), 209028336 (IL), 0033013 (OH), 29997 (SC), 38021 (TN), SP032050 (PA), 3-001918 (AL), C-APN.0102962-C-NP (CO), 10040595 (OR), 907225 (MS)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN9325995 (FL)
36624 GRAND ISLAND OAKS CIR, Grand Island, FL 32735
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Bridgman Dnp, Aprn, Agnp-bc 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 Shane Bridgman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical Group Professional Corporation
216 mi
Primary Care
880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027
  • Reassigned Medicare billing, Arizona enrollment
  • 68 clinicians in this Medicare group
NPI 1245838168 (866) 849-0692
Devoted Medical PC
955 mi
Primary Care
200 S WACKER DR FL 31
Chicago, IL 60606
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
NPI 1467125203 (866) 849-0692

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32735 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers62 claims62 services$33.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers47 claims47 services$80.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers47 claims137 services$31.60 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims78 services$16.73 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers20 claims120 services$12.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers39 claims39 services$46.04 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 2

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

BLOOM MEDICAL GROUP LLC
Respiratory Therapist, Certified (Pulmonary Rehabilitation)
36624 GRAND ISLAND OAKS CIR
GRAND ISLAND, FL 32735
Lake County (201) 474-7333
BREATHING CLINIC
Nurse Practitioner (Gerontology)
36624 GRAND ISLAND OAKS CIR
GRAND ISLAND, FL 32735
Lake County (352) 551-3013

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 Shane Bridgman's NPI number?

The NPI number for Shane Bridgman is 1447762380. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Shane Bridgman located?

Shane Bridgman practices at 36624 Grand Island Oaks Cir, Grand Island, FL 32735. The listed phone number is (352) 801-9272.

What is Shane Bridgman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shane Bridgman enrolled in Medicare?

Yes. Shane Bridgman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shane Bridgman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Bridgman reassigns Medicare benefits to 2 organizations: Devoted Medical Group Professional Corporation (Pembroke Pines, FL) and Devoted Medical PC (Chicago, IL). 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 Shane Bridgman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Bridgman was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.