BRIDGECARE PROVIDER GROUP MA, PLLC
NPI 1679366298
Nurse Practitioner in Concord, MA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridgecare Provider Group Ma, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Bridgecare Provider Group Ma, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Burlington, MA 01805
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 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.
Is Bridgecare Provider Group Ma, PLLC enrolled in Medicare?
Yes. Bridgecare Provider Group Ma, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridgecare Provider Group Ma, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Bridgecare Provider Group Ma, PLLC. 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 Nurse Practitioner (7) and Geriatric Medicine (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 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 17 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.
# Bridgecare Provider Group Ma, Pllc · NPI 1679366298
Nurse Practitioner organization in Concord, Massachusetts. Organization record, active in the CMS NPPES registry since May 27, 2025.
## Identity
- **NPI:** 1679366298 (Entity type: Organization)
- **Enumerated:** May 27, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Marivic Vanover, VICE PRESIDENT OF OPERATION
## Practice location
- **Address:** 57 OLD ROAD TO 9 ACRE COR, Concord, MA 01742-3317
- **Phone:** (551) 337-3278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Geriatric Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679366298) · Data from the CMS NPPES public registry.