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MISS MARY CLARE BRUCE MA
NPI 1164005070
Student in an Organized Health Care Education/Training Program in Muncie, IN

Active since April 29, 2021PECOS Enrolled
3700 W KILGORE AVE, MUNCIE, IN 47304(765) 289-5437 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Mary Clare Bruce Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARY CLARE BRUCE MA (NPI 1164005070) is an individual student in an organized health care education/training program in Muncie, Indiana and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164005070
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS MARY CLARE BRUCECredential: MA
Location Address3700 W KILGORE AVEMuncie, IN 47304-4810
Mailing Address3700 W Kilgore AveMuncie, IN 47304-4810
Phone(765) 289-5437
Sole ProprietorNo
Enumeration DateApril 29, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1164005070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3700 W KILGORE AVE, Muncie, IN 47304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Mary Clare Bruce Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Clare Bruce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Indiana - Auditor Of State
36 mi
Psychiatric Hospital
498 NW 18TH ST
Richmond, IN 47374
  • Reassigned Medicare billing, Indiana enrollment
  • 112 clinicians in this Medicare group
NPI 1093933236 (765) 966-0511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WORKPLACE HEALTH SERVICES, LLC
Clinic/Center
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
JESSICA SIMPSON PSYD HSPP
Psychologist (Clinical)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
ADDRIANNE MILES
Residential Treatment Facility, Emotionally Disturbed Children
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
DONALD JOSEPH BERNAT NCSP
Psychologist (Clinical Child & Adolescent)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 747-5223
DR. BRANDON MATTHEW ROBBINS PSY.D.
Psychologist (Clinical)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
MRS. AMBER NICOLE GROOMES M.A.
Counselor (Professional)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
CASEY THOMPSON
Counselor (Mental Health)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
YOUTH OPPORTUNITY CENTER, INC
Psychiatric Residential Treatment Facility
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Clare Bruce's NPI number?

The NPI number for Mary Clare Bruce is 1164005070. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Mary Clare Bruce located?

Mary Clare Bruce practices at 3700 W Kilgore Ave, Muncie, IN 47304. The listed phone number is (765) 289-5437.

What is Mary Clare Bruce's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Clare Bruce enrolled in Medicare?

Yes. Mary Clare Bruce is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Clare Bruce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Clare Bruce reassigns Medicare benefits to State Of Indiana - Auditor Of State (Richmond, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Clare Bruce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Clare Bruce was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.