BRIDGET ETHAMMA VINCENT (CRNP) – Adult Health Nurse Practitioner, NPI 1417140765

BRIDGET ETHAMMA VINCENT (CRNP) is a healthcare provider. based in Langhorne, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP009454 (PA). The NPI Number for BRIDGET ETHAMMA VINCENT (CRNP) is 1417140765

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
BRIDGET ETHAMMA VINCENT (CRNP)
NPI
1417140765
Phone
(215) 710-4460
Address
1205 Langhorne Newtown Rd Ste 403
Enumeration Date
21 August 2007
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2157578100
Graduation Year
2006 (20 years ago)
PAC ID
2365535119
Group Practice PAC ID
9638248214
Professional Enrollment ID
I20070910000715
Address ID
PA190473200LA170XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for BRIDGET ETHAMMA VINCENT (CRNP)

  • 1205 Langhorne Newtown Rd Ste 403

    Langhorne, PA 190471223

    Phone: (215) 710-4460

    Fax: (215) 710-4465

    Type: Location

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    6 PENN TOWER

    PHILADELPHIA, PA 191044206

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).

Total Amount

$139

General + Research + Ownership

Payments

2

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2007-09-10

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
I20070910000715INurse PractitionerPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes835383$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2623$0
View full utilization report →

Insurance plans in this area (ZIP 19047)

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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: 9638248214View full group profile
NameSpecialtyState
Internal MedicinePA
-PA
Nurse PractitionerPA
Nurse PractitionerPA
Internal MedicinePA
-PA
Internal MedicinePA
Family PracticePA
-PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do I look up BRIDGET ETHAMMA VINCENT (CRNP) by NPI?
Use NPI 1417140765 when you need to reference BRIDGET ETHAMMA VINCENT (CRNP) in forms, claims, or directories.
Is BRIDGET ETHAMMA VINCENT (CRNP) active in the national directory?
BRIDGET ETHAMMA VINCENT (CRNP)'s public NPI profile is in an active state.
Does BRIDGET ETHAMMA VINCENT (CRNP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for BRIDGET ETHAMMA VINCENT (CRNP). Clinical services aligned with this taxonomy classification.
What location shows for BRIDGET ETHAMMA VINCENT (CRNP)?
We surface Langhorne, Pennsylvania for BRIDGET ETHAMMA VINCENT (CRNP) based on available NPPES addresses.
What if Langhorne, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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