BRIDGETT MICHELLE JOHNSON (APRN) – Gerontology Nurse Practitioner, NPI 1629580519

BRIDGETT MICHELLE JOHNSON (APRN) is a healthcare provider. based in Port saint lucie, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 95020396 (CA). The NPI Number for BRIDGETT MICHELLE JOHNSON (APRN) is 1629580519

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BRIDGETT MICHELLE JOHNSON (APRN)
NPI
1629580519
Phone
(772) 345-6676
Address
11403 SW KINGSLAKE CIR
Enumeration Date
31 October 2017
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7047844494
Graduation Year
2021 (5 years ago)
PAC ID
3375931702
Group Practice PAC ID
1951676568
Professional Enrollment ID
I20231205003864
Address ID
NC280252925CO515XXNEXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:8State licenses:7Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for BRIDGETT MICHELLE JOHNSON (APRN)

  • 11403, SW Kingslake Circle, Port St. Lucie, St. Lucie County, Florida, 34987, United States

    PORT SAINT LUCIE, FL 349872766

    Phone: (772) 345-6676

    Type: Mailing

  • 1481 MCDONALD AVE FL 2

    BROOKLYN, NY 112304667

    Phone: (929) 491-7333

    Fax: (000) 000-0000

    Type: Location

  • 306 NW BETHANY DR

    PORT SAINT LUCIE, FL 34986

    Phone: (772) 345-1111

    Fax: (772) 345-2222

    Type: Location

  • 10380 SW VILLAGE CENTER DR STE 215

    PORT SAINT LUCIE, FL 349871931

    Phone: (929) 491-7333

    Fax: (929) 491-7333

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: ABIOMED ($114).

Total Amount

$162

General + Research + Ownership

Payments

9

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$114
ABBVIE INC.$48
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 27 Medicare enrollment records; no due dates published yet.

Enrollment records

27

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211103002577INurse PractitionerFLTBD
I20230216001773INurse PractitionerNYTBD
I20231201001940INurse PractitionerNMTBD
I20231201002189INurse PractitionerNJTBD
I20231205003864INurse PractitionerNCTBD
I20240219000658INurse PractitionerCOTBD
I20240229000809INurse PractitionerTXTBD
I20240301000499INurse PractitionerPATBD
I20240301001598INurse PractitionerCATBD
I20240326002028INurse PractitionerMETBD
I20250128000646INurse PractitionerMATBD
I20250513001865INurse PractitionerVATBD
I20250514001011INurse PractitionerNHTBD
I20250515002310INurse PractitionerWVTBD
I20250519002355INurse PractitionerKYTBD
I20250519002464INurse PractitionerCTTBD
I20250519003037INurse PractitionerALTBD
I20250521001558INurse PractitionerDETBD
I20250522002702INurse PractitionerWITBD
I20250523000359INurse PractitionerMDTBD
I20250523000450INurse PractitionerDCTBD
I20250529002215INurse PractitionerTNTBD
I20250529003290INurse PractitionerWATBD
I20250530000080INurse PractitionerOHTBD
I20250606000224INurse PractitionerMOTBD
I20250715001066INurse PractitionerVTTBD
I20251003003001INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes206193$0
99442Telephone medical discussion with physician, 11-20 minutes193157$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4948$0
99441Telephone medical discussion with physician, 5-10 minutes3333$0
G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)3232$0
View full utilization report →

Insurance plans in this area (ZIP 34987)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951676568View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerMD
Emergency MedicineTX
Emergency MedicinePA
-WV
Nurse PractitionerCA
-OR
-MD
Nurse PractitionerRI
Internal Medicine, Infectious DiseaseNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIDGETT MICHELLE JOHNSON (APRN)?
BRIDGETT MICHELLE JOHNSON (APRN) — NPI 1629580519 — is the standard way to identify this listing.
Can I rely on BRIDGETT MICHELLE JOHNSON (APRN) being an active provider?
As of the registry snapshot, BRIDGETT MICHELLE JOHNSON (APRN) is marked active.
What taxonomy line describes BRIDGETT MICHELLE JOHNSON (APRN)?
For research purposes, treat BRIDGETT MICHELLE JOHNSON (APRN) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BRIDGETT MICHELLE JOHNSON (APRN) on a map?
Expect Port Saint Lucie, Florida as a primary anchor for BRIDGETT MICHELLE JOHNSON (APRN) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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