Active NPI
Patricia Lynne Debruin, CNP
- Family Nurse Practitioner
- Athens, OH
National Provider Identifier
1083696215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.07926
- Practice address
- 2131 East State Street
Athens, OH 45701-2857 - Phone
- (740) 589-3100
- Fax
- (740) 589-3127
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.07926 | OH | Primary |
Addresses
Primary practice location
2131 East State Street
Athens, OH 45701-2857
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (855) 446-5937
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000230055 | Other | OH | OHIO MEDICAID UNISON |
| P00448395 | Other | RAILROAD MEDICARE | |
| 2793535 | Medicaid | OH | |
| 2793535 | Other | OH | OHIO MEDICAD MOLINA |
| 3810010757 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patricia.debruin.1@17389.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2131 E State St
Athens, OH 45701-2138
Phone (740) 589-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Path LLC | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050
Interoperability endpoints
- patricia.debruin.1@17389.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
-
- Anatomic Pathology & Clinical Pathology Physician
- Gallipolis, OH
- NPI 1942525563
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
-
- Home Health Agency
- Belpre, OH
- NPI 1811153646
-
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1083696215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "855-446-5937",
"fax_number": "740-589-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 EAST STATE STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012857",
"telephone_number": "740-589-3100",
"fax_number": "740-589-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRUIN",
"first_name": "PATRICIA",
"middle_name": "LYNNE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.07926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID UNISON",
"identifier": "000000230055",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00448395",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2793535",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAD MOLINA",
"identifier": "2793535",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810010757",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patricia.debruin.1@17389.direct.athenahealth.com",
"affiliation": "N",
"address_1": "2131 East State Street",
"city": "Athens",
"state": "OH",
"country_code": "US",
"postal_code": "457012857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.