Elizabeth A Bruckbauer, APRN, BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

96-033 Issued in WI

Practice address

333 E Campus Mall
Mailroom 8104
Madison, WI 53715-1365

Phone

(608) 262-9640

Fax

(608) 262-9160

NPI assigned

Mar 1, 2007

Last updated

Apr 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University of Wisconsin System Non Payroll

  dba University Health Services

  • Student Health Clinic/Center
  • Madison, WI
  • NPI 1669599361
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1043348998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CAMPUS MALL",
            "address_2": "MAILROOM 8104",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151365",
            "telephone_number": "608-262-9640",
            "fax_number": "608-262-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CAMPUS MALL",
            "address_2": "MAILROOM 8104",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151365",
            "telephone_number": "608-262-9640",
            "fax_number": "608-262-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKBAUER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "96-033",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "WI",
            "license": "82057-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Marie Bruce-Widder, MSW
• Calvin S Bruce, MD
• Jennifer Ann Bruce
• Justine Yang Bruce
• Richard James Bruce, M.D.
• Justin Lee Brucker, M.D.
• Robert C Bruckner, DDS
• Danielle C Bruder, APRN
• Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT
• Tracy Jean Bruggink

• Adult Health Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.