TISHA L BRIDGE (PA-C) – Physician Assistant, NPI 1982833745
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TISHA L BRIDGE (PA-C)
5000 SUITE B OKEECHOBEE ROAD
FORT PIERCE, FL 349475882
Phone: (772) 464-6551
Fax: (772) 465-0322
Type: Mailing
Irwin Army Community Hospital, 600, Caisson Hill Road, Geary County, Kansas, 66442, United States
FORT RILEY, KS 664427037
Phone:
Type: Mailing
900 VIRGINIA AVE STE 10
FORT PIERCE, FL 349825882
Phone: (772) 464-6551
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Lilly USA, LLC ($230).
Total Amount
$583
General + Research + Ownership
Payments
36
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $230 |
| Novo Nordisk Inc | $101 |
| Amgen Inc. | $98 |
| ABBVIE INC. | $88 |
| Exact Sciences Corporation | $45 |
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: 2020-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200713003697 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
Insurance plans in this area (ZIP 34947)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| General Surgery | MI | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| U R O L O G Y | FL | |
| Family Practice | IN | |
| P O D I A T R Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.