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KRISTIN BRUCKMAN NP
NPI 1689489510
Nurse Practitioner - Psychiatric/Mental Health in Mason, OH

Active since February 10, 2025PECOS Enrolled
5412 COURSEVIEW DR STE 215, MASON, OH 45040(513) 204-1910 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristin Bruckman Np NPPES

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

KRISTIN BRUCKMAN NP (NPI 1689489510) is an individual psychiatric/mental health provider in Mason, Ohio, licensed in Ohio (APRN.CNP.0038456) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689489510
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTIN BRUCKMANCredential: NP
Location Address5412 COURSEVIEW DR STE 215Mason, OH 45040-2410
Mailing Address4095 Brookdale Ln Unit 6Dayton, OH 45440-4187 · (937) 361-0192
Phone(513) 204-1910
Sole ProprietorYes
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 9, 2025
✔ NPI 1689489510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0038456
5412 COURSEVIEW DR STE 215, Mason, OH 45040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristin Bruckman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Side Wellness Associates, LLC
2.3 mi
Psychiatric/Mental Health
3615 SOCIALVILLE FOSTER RD, SUTIES A B C D
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
NPI 1841731510 (513) 204-1910
Psycho Social Therapies,ltd
206 mi
Clinical
23366 COMMERCE PARK STE 100B
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
NPI 1750335261 (216) 292-2880

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 45040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

DEANNA WU MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5412 COURSEVIEW DR STE 215
MASON, OH 45040
Warren County (513) 204-1910
ASHLEY PAULINE ZOLDAK
Nurse Practitioner (Psychiatric/Mental Health)
5412 COURSEVIEW DR STE 215
MASON, OH 45040
Warren County (866) 389-2727
MRS. BRIDGET MICHELLE ZIEGLER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5412 COURSEVIEW DR STE 215
MASON, OH 45040
Warren County (513) 204-1910
MRS. AMANDA DAWN DOZIER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5412 COURSEVIEW DR STE 215
MASON, OH 45040
Warren County (513) 317-8949

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 Kristin Bruckman's NPI number?

The NPI number for Kristin Bruckman is 1689489510. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Kristin Bruckman located?

Kristin Bruckman practices at 5412 Courseview Dr Ste 215, Mason, OH 45040. The listed phone number is (513) 204-1910.

What is Kristin Bruckman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristin Bruckman enrolled in Medicare?

Yes. Kristin Bruckman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Bruckman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Bruckman reassigns Medicare benefits to 2 organizations: Lee Side Wellness Associates, LLC (Mason, OH) and Psycho Social Therapies,ltd (Beachwood, OH). Each 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 Kristin Bruckman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Bruckman accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Kristin Bruckman 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 Kristin Bruckman was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.