Active NPI
Becky Bruce, NP
- Family Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22853
- Practice address
- 221 Sterling Farm Dr
Jackson, TN 38305-5727 - Phone
- (731) 300-6155
- NPI assigned
- Apr 14, 2017
- Last updated
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22853 | TN | Primary |
| General Practice Registered Nurse | 163WG0000X | 174736 | TN |
Addresses
Primary practice location
221 Sterling Farm Dr
Jackson, TN 38305-5727
Mailing address
221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone (731) 300-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2255 Parr Ave
Suite B
Dyersburg, TN 38024-2078
Phone (731) 286-1510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174736 | TN | MD | General Practice Registered Nurse |
| 22853 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Experts PLLC | Current | Accepting new patients |
Locations
1995 Highway 51 S
Ste 208
Covington, TN 38019
Phone (901) 476-7070
1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510
Interoperability endpoints
- bbruce47527@direct.davitaphysiciansolutions.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1073047189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 STERLING FARM DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383055727",
"telephone_number": "731-300-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 STERLING FARM DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383055727",
"telephone_number": "731-300-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "BECKY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22853",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TN",
"license": "174736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.