Andrea L Brudigan, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

114634 Issued in NE

Practice address

7205 W Center Rd Ste 200
Omaha, NE 68124-2388

Phone

(402) 397-6600

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea L Moore Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mid-City OB-GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
  • NPI 1861578817

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Psychnebraska LLC

  dba PsychNebraska

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkhorn, NE
  • NPI 1023873577
  Medicare reassignment NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1205533619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDIGAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "114634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MOORE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Brucken
• Anne L Bruckner, PHARMD
• Daniel J Bruckner, LCSW
• William Bruckner
• Mackenzie Jordyn Bruder
• James Edward Brudney, SLP
• Margaret Brudney, PLMHP
• Anna Brueggemann-Bilger
• Elizabeth Grace Brueggemann
• Lexye Nichole Bruegman, OD

• Psychiatric/Mental Health Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.