MARY KATHERINE BRIDGES (FNP, AGACNP) – Nurse Practitioner, NPI 1164072591
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MARY KATHERINE BRIDGES (FNP, AGACNP)
316 FOOTHILLS PKWY NE
GAINESVILLE, GA 305013839
Phone: (865) 228-4036
Type: Mailing
149 Drinkwater Rd
Bay St Louis, MS 395201658
Phone: (228) 467-8600
Type: Location
1117 DICKORY AVE APT 369
RIVER RIDGE, LA 701232576
Phone: (865) 228-4036
Type: Mailing
200 W ESPLANADE AVE
KENNER, LA 700652489
Phone: (504) 464-8506
Type: Location
1001 GAUSE BLVD
SLIDELL, LA 704582939
Phone: (985) 280-2200
Type: Location
12078 GRAND OAKS DR
GULFPORT, MS 395035683
Phone: (865) 228-4036
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221006002904 | I | Nurse Practitioner | LA | TBD |
| I20250611000199 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 97 | 93 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | MS | |
| - | MS | |
| Family Practice | MS | |
| - | MS | |
| A N E S T H E S I O L O G Y | LA | |
| Nurse Practitioner | MS | |
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | MS | |
| Nurse Practitioner | MS | |
| Internal Medicine | MS |
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