HEATHER C BRIDGE PA
NPI 1700055035
Physician Assistant - Surgical in Tampa, FL

Active since February 20, 2008PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 MAGNOLIA DR, SRB4, TAMPA, FL 33612(813) 745-7853 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather C Bridge Pa NPPES

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

HEATHER C BRIDGE PA (NPI 1700055035) is an individual surgical provider in Tampa, Florida, licensed in Florida (PAT9104498) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700055035
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHEATHER C BRIDGECredential: PA
Location Address12902 MAGNOLIA DR, SRB4Tampa, FL 33612
Mailing Address12902 Magnolia Dr, Srb4Tampa, FL 33612 · (813) 745-7853
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 20, 2008
Last NPPES UpdateJanuary 14, 2011
NPI 1700055035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PAT9104498
12902 MAGNOLIA DR, Tampa, FL 33612

Other Identifiers 1

Medicare UPINAB056FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather C Bridge Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911073309
PECOS Enrollment IDI20080909000406
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Medical Oncology)
12902 MAGNOLIA DR
TAMPA, FL 33612
Internal Medicine
12902 MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 MAGNOLIA DR
TAMPA, FL 33612
Urology
12902 MAGNOLIA DR
TAMPA, FL 33612
Pharmacist
12902 MAGNOLIA DR
TAMPA, FL 33612
Pharmacist (Oncology)
12902 MAGNOLIA DR, H LEE MOFFITT CANCER CENTER
TAMPA, FL 33612
Physician Assistant
12902 MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology & Clinical Pathology)
12902 MAGNOLIA DR
TAMPA, FL 33612

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 Heather Bridge's NPI number?

The NPI number for Heather Bridge is 1700055035. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Heather Bridge located?

Heather Bridge practices at 12902 Magnolia Dr Srb4, Tampa, FL 33612. The listed phone number is (813) 745-7853.

What is Heather Bridge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Heather Bridge enrolled in Medicare?

Yes. Heather Bridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Heather Bridge affiliated with any hospitals?

According to CMS data, Heather Bridge is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Bridge was last updated on January 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.