1. Home
  2. Directory
  3. Massachusetts
  4. Concord
  5. Nurse Practitioner
  6. NPI Profile

BRIDGECARE PROVIDER GROUP MA, PLLC
NPI 1679366298
Nurse Practitioner in Concord, MA

Active since May 27, 2025
57 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742(551) 337-3278 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgecare Provider Group Ma, Pllc NPPES

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

BRIDGECARE PROVIDER GROUP MA, PLLC (NPI 1679366298) is a healthcare organization registered as a nurse practitioner in Concord, Massachusetts and active in the NPI registry since May 2025. The organization lists Marivic Vanover (jed) Vanover, Vice President Of Operation, as its authorized official.

NPPES Registry Identity

NPI1679366298
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBRIDGECARE PROVIDER GROUP MA, PLLC
Location Address57 OLD ROAD TO 9 ACRE CORConcord, MA 01742-3317
Mailing Address57 Old Road To 9 Acre CorConcord, MA 01742-3317 · (551) 337-3278
Phone(551) 337-3278
Organization SubpartNo
Authorized OfficialMarivic Vanover (jed) VanoverVice President Of Operation · (856) 448-3533
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1679366298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
57 OLD ROAD TO 9 ACRE COR, Concord, MA 01742
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

NURTURE ACUPUNCTURE INC
Health Maintenance Organization
57 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (978) 660-4502
KATHRYN ANNE JANECZEK
Dietitian, Registered
57 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (978) 846-2901
MS. ELISABETH ANN RILEY MAOM
Acupuncturist
57 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (978) 660-4502
MARIA D CASEY
Social Worker (Clinical)
57 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (617) 913-5640
INSPIRED NUTRITION AND HEALTH
Dietitian, Registered
57 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (978) 846-2901

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 Bridgecare Provider Group Ma, PLLC's NPI number?

The NPI number for Bridgecare Provider Group Ma, PLLC is 1679366298. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Bridgecare Provider Group Ma, PLLC located?

Bridgecare Provider Group Ma, PLLC is located at 57 Old Road To 9 Acre Cor, Concord, MA 01742. The listed phone number is (551) 337-3278.

What is Bridgecare Provider Group Ma, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Bridgecare Provider Group Ma, PLLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.