NICOLE BRUEY-PERNELL APRN
NPI 1386253714
Nurse Practitioner in Spokane, WA

Q: What is Nicole Bruey-pernell's NPI number?

The NPI number for Nicole Bruey-pernell is 1386253714. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Nicole Bruey-pernell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment

4815 N ASSEMBLY ST, SPOKANE, WA 99205(509) 434-7000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jul 5, 2023, Jun 22, 2023 and 1 more (4 updates tracked since 2020).

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About Nicole Bruey-pernell Aprn NPPES

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

NICOLE BRUEY-PERNELL APRN (NPI 1386253714) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP61151485) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386253714

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE BRUEY-PERNELLCredential: APRN

Location Address4815 N ASSEMBLY STSpokane, WA 99205-6185

Mailing Address6589 N Rendezvous DrCoeur D Alene, ID 83815-0068 · (936) 203-6759

Phone(509) 434-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 31, 2020

Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration

NPPES CertifiedJuly 22, 2025

✔ NPI 1386253714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · AP61151485✔ Licensed in ID · 67422

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 67422 (ID)

4815 N ASSEMBLY ST, Spokane, WA 99205

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Secondary Practice Locations 2

Location 11502 N Vercler RdSpokane Valley, WA 99216-1078 · Phone (509) 444-8200

Location 2700 W Ironwood Dr # 120ECoeur D Alene, ID 83814-2656 · Phone (208) 625-3600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Bruey-pernell Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416317318

PECOS Enrollment IDI20230724000796

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JEFFREY LEWIS BAILEY RN

Clinical Nurse Specialist (Psychiatric/Mental Health)