HEIDI MARIE BRUCKERT
NPI 1831681402
Nurse Practitioner in Shawano, WI
About Heidi Marie Bruckert NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI MARIE BRUCKERT (NPI 1831681402) is an individual nurse practitioner in Shawano, Wisconsin, licensed in Wisconsin (8675-33) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Heidi Marie Bruckert 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 Reassignments
3Medicare enrollment records show Heidi Bruckert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oconto Falls, WI 54154
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 26 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 28 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54166 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAWANO, WI 54166
SHAWANO, WI 54166
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 Heidi Bruckert's NPI number?
The NPI number for Heidi Bruckert is 1831681402. It was assigned to this individual provider in the NPPES registry on May 30, 2018.
Where is Heidi Bruckert located?
Heidi Bruckert practices at 1300 E Green Bay St, Shawano, WI 54166. The listed phone number is (715) 201-0870.
What is Heidi Bruckert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Heidi Bruckert enrolled in Medicare?
Yes. Heidi Bruckert 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 organizations bill Medicare for Heidi Bruckert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Bruckert reassigns Medicare benefits to 3 organizations: St Clare Memorial Hospital, Inc (Oconto Falls, WI), Green Bay Radiology Sc (Green Bay, WI) and Gbr Sheboygan LLC (Sheboygan, WI). 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 Heidi Bruckert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heidi Bruckert accept?
Health plans from CareSource (Common Ground Healthcare) and Network Health list Heidi Bruckert 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.
Is Heidi Bruckert affiliated with any hospitals?
According to CMS data, Heidi Bruckert is affiliated with St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Heidi Bruckert was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Heidi Marie Bruckert · NPI 1831681402
Nurse Practitioner physician in Shawano, Wisconsin. Individual provider, active in the CMS NPPES registry since May 30, 2018.
## Identity
- **NPI:** 1831681402 (Entity type: Individual)
- **Enumerated:** May 30, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 8675-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 E GREEN BAY ST, Shawano, WI 54166-2210
- **Phone:** (715) 201-0870
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St Clare Memorial Hospital, Inc (NPI 1851477913, Oconto Falls, WI); Green Bay Radiology Sc (NPI 1447327986, Green Bay, WI); Gbr Sheboygan LLC (NPI 1467529917, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1831681402) · Data from the CMS NPPES public registry.