HEATHER J BRUCKMAN NP
NPI 1578946463
Nurse Practitioner - Neonatal in Indianapolis, IN

Q: What is Heather Bruckman's NPI number?

The NPI number for Heather Bruckman is 1578946463. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Q: What is Heather Bruckman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Bruckman was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 09, 2015PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 13, 2024, May 17, 2024, Feb 1, 2021 and 1 more (4 updates tracked since 2015).

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About Heather J Bruckman Np NPPES

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

HEATHER J BRUCKMAN NP (NPI 1578946463) is an individual neonatal provider in Indianapolis, Indiana, licensed in Indiana (71005548) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1578946463

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameHEATHER J BRUCKMANCredential: NP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 778912Chicago, IL 60677-8912 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-4779

Fax(317) 948-9806

Sole ProprietorNo

Enumeration DateJuly 9, 2015

Last NPPES UpdateJune 13, 20244 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1578946463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in IN · 71005548✔ Licensed in IN · 28140695

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 71005548A (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9852 · Fax (812) 353-9278

Other Identifiers 3

Medicaid201327820IN

Other090540996IN · Medicare Ptan

Other1102404093IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather J Bruckman Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)