Individual provider Active NPI

Kara Sue Bruskotter, CNP

  • Family Nurse Practitioner
  • Troy, OH
National Provider Identifier
1033762562
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024857 Issued in OH
Practice address
3130 N County Road 25a
Troy, OH 45373-1337
Phone
(937) 638-8176
NPI assigned
Jul 23, 2019
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024857 OH Primary

Addresses

Primary practice location

3130 N County Road 25a
Troy, OH 45373-1337

Mailing address

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 497-5665

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kara.bruskotter@wilsonhospital.medicity.net
Direct Messaging Address kara.bruskotter@wilsonhospital.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827001939 OH Practitioner - Nurse Practitioner 0547598674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

602 W Pike St
Jackson Center, OH 45334-6011
Phone (937) 596-6123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024857OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

111 E Lynn St
Botkins, OH 45306
Phone (937) 693-1541

823 Michigan St
Bldg A
Sidney, OH 45365
Phone (937) 498-5334

823 Michigan St
Bldg B
Sidney, OH 45365
Phone (937) 498-1335

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Bldg A
Sidney, OH 45365
Phone (937) 492-4890

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kbruskotter1541278@direct.osumc.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1033762562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-497-5665",
            "fax_number": "937-497-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-638-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKOTTER",
        "first_name": "KARA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kara.bruskotter@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "326 North Main Street Eagle Drive",
            "address_2": "Suite 300",
            "city": "Minster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kara.bruskotter@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "915 W Michigan St",
            "address_2": "Medical Building A",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.