Individual provider Active NPI

Laura Ann Bruck-Hillas, APRN

  • Family Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1093301897
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1101644 Issued in FL
Practice address
23 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-2605
Phone
(850) 278-3932
Fax
(850) 278-3933
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 APRN1101644 FL Primary

Addresses

Primary practice location

23 Mack Bayou Loop Ste 201
Santa Rosa Beach, FL 32459-2605

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tanuja@visitonehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210108001195 FL Practitioner - Nurse Practitioner 6709299852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

9375 Emerald Coast Pkwy
Miramar Beach, FL 32550-7274
Phone (850) 278-3940

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1101644FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Dec 17, 2025 Accepting new patients
White-Wilson Medical Center PA CurrentSince Nov 1, 2022 Accepting new patients
Bowman & Hampsey Mdspa PastSince Dec 1, 2020 Accepting new patients

Locations

130 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

9375 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 278-3770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.bruck-hillas.1@21123.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1093301897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MACK BAYOU LOOP STE 201",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592605",
            "telephone_number": "850-278-3932",
            "fax_number": "850-278-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCK-HILLAS",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1101644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tanuja@visitonehealth.com",
            "affiliation": "N",
            "endpointDescription": "Supervising Physician Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3251 N McMullen Booth Rd Ste 303",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.