LISA BRIDWELL – Family Nurse Practitioner, NPI 1902427917

LISA BRIDWELL is a healthcare provider. based in Evansville, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71010143A (IN). The NPI Number for LISA BRIDWELL is 1902427917

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
LISA BRIDWELL
NPI
1902427917
Phone
(812) 402-3700
Address
4972 LINCOLN AVE STE 101
Enumeration Date
30 April 2020
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124023700
Graduation Year
2018 (8 years ago)
PAC ID
9830511351
Group Practice PAC ID
8527241488
Professional Enrollment ID
I20200714000566
Address ID
IN477157909EV4972XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for LISA BRIDWELL

  • 4972 LINCOLN AVE STE 101

    EVANSVILLE, IN 477157909

    Phone: (812) 402-3700

    Type: Mailing

  • PO BOX 361327

    INDIANAPOLIS, IN 462361327

    Phone: (317) 253-7387

    Type: Mailing

  • 6246 W BROADWAY STE 200

    MCCORDSVILLE, IN 460559572

    Phone: (317) 253-7387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 249 Open Payments records for all available years, with a total value of $3,535.

Total Amount is formed as General ($3,535) + Research ($0) + Ownership ($0) = $3,535.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($459).

Total Amount

$3,535

General + Research + Ownership

Payments

249

Total payment records

General Amount

$3,535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-07-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200714000566INurse PractitionerINTBD

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
96375Injection of additional new drug or substance into vein56412$0
96361Infusion into a vein for hydration, each additional hour18616$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15262$0
96372Injection of drug or substance under skin or into muscle14735$0
J7050Infusion, normal saline solution, 250 cc11320$0
View full utilization report →

Insurance plans in this area (ZIP 47715)

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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: 8527241488View full group profile
NameSpecialtyState
Internal MedicineIN
Internal MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Clinical Social WorkerIN
Nurse PractitionerKY
Nurse PractitionerIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What identifier follows LISA BRIDWELL across health systems?
The NPI 1902427917 uniquely identifies LISA BRIDWELL in U.S. healthcare data.
Is LISA BRIDWELL currently accepting referrals based on NPI status?
Registry metadata lists LISA BRIDWELL as active.
What services align with LISA BRIDWELL's listing?
LISA BRIDWELL's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LISA BRIDWELL?
The directory associates LISA BRIDWELL with Evansville, Indiana. Check all listed addresses for suites or satellite offices.
Why is information missing for LISA BRIDWELL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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