HEATHER LEE BRUINSMA NP
NPI 1417526054
Nurse Practitioner - Acute Care in Mount Pleasant, WI
About Heather Lee Bruinsma Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER LEE BRUINSMA NP (NPI 1417526054) is an individual acute care provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (11020-33) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Lee Bruinsma Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Bruinsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNT PLEASANT, WI 53405
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 Heather Bruinsma's NPI number?
The NPI number for Heather Bruinsma is 1417526054. It was assigned to this individual provider in the NPPES registry on June 18, 2021.
Where is Heather Bruinsma located?
Heather Bruinsma practices at 3801 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-4011.
What is Heather Bruinsma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Heather Bruinsma enrolled in Medicare?
Yes. Heather Bruinsma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Heather Bruinsma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bruinsma reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Heather Bruinsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Bruinsma accept?
Health plans from Anthem Blue Cross and Blue Shield list Heather Bruinsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heather Bruinsma was last updated on June 18, 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.
# Heather Lee Bruinsma, NP · NPI 1417526054
Acute Care physician in Mount Pleasant, Wisconsin. Individual provider, active in the CMS NPPES registry since June 18, 2021.
## Identity
- **NPI:** 1417526054 (Entity type: Individual)
- **Enumerated:** June 18, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 11020-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 SPRING ST, Mount Pleasant, WI 53405-1667
- **Phone:** (262) 687-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 18, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1417526054) · Data from the CMS NPPES public registry.