BRIANNE NICOLE BRIDGELAND (ARNP) – Family Nurse Practitioner, NPI 1104070598
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRIANNE NICOLE BRIDGELAND (ARNP)
PO BOX 34439
SEATTLE, WA 981241439
Phone:
Type: Mailing
301, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States
SUITE #210
WALLA WALLA, WA 993622858
Phone: (509) 522-5825
Fax: (509) 529-3512
Type: Location
8659 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 917304893
Phone: (909) 920-0444
Fax: (909) 920-5044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $1,973.
Total Amount is formed as General ($1,973) + Research ($0) + Ownership ($0) = $1,973.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($578).
Total Amount
$1,973
General + Research + Ownership
Payments
103
Total payment records
General Amount
$1,973
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-06-30
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 |
|---|---|---|---|---|
| I20230630002910 | I | Nurse Practitioner | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98124)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Hospitalist, Internal Medicine | UT | |
| Nurse Practitioner | WA | |
| Internal Medicine, Hospitalist | ID | |
| N E U R O L O G Y | OR | |
| Family Practice | WA | |
| Emergency Medicine | WA | |
| Physical Therapist In Private Practice | WA | |
| Nurse Practitioner | WA | |
| Pulmonary Disease, Critical Care (Intensivists) | WA |
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