NPIMap

Individual provider Active NPI

Selena Bruck

  • Primary Care Nurse Practitioner
  • Westlake, OH
National Provider Identifier
1336756956
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
PENDING Issued in OH
Practice address
29101 Health Campus Dr Ste 250
Westlake, OH 44145-5277
Phone
(440) 827-5195
NPI assigned
Sep 28, 2020
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X PENDING OH Primary

Addresses

Primary practice location

29101 Health Campus Dr Ste 250
Westlake, OH 44145-5277

Mailing address

29101 Health Campus Dr Ste 250
Westlake, OH 44145-5277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323002201 OH Practitioner - Nurse Practitioner 3971910795 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

125 E Broad St
Suite 218
Elyria, OH 44035-6447
Phone (440) 329-7310

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGOHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 28, 2023 Accepting new patients
Fast Response Nurse Practitioners, LLC CurrentSince Jan 25, 2023 Accepting new patients
Fast Response Nurse Practitioners LLC CurrentSince Jan 25, 2023 Accepting new patients
Respiratory and Sleep Disorders Consultants, Inc. CurrentSince Dec 1, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 28, 2023 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

474 Church St
Amherst, OH 44001
Phone (440) 984-6999

500 Community Dr
Avon Lake, OH 44012
Phone (440) 930-0738

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

125 E Broad St
Ste 119
Elyria, OH 44035
Phone (440) 329-5941

3905 Oberlin Ave
Lorain, OH 44053
Phone (440) 989-5200

205 Rohr Ave NW
Massillon, OH 44646
Phone (330) 837-2100

29101 Health Campus Dr
Ste 250
Westlake, OH 44145
Phone (440) 827-5483

4110 E Smithville Western Rd
Wooster, OH 44691
Phone (330) 345-9050

4138 Swanson Blvd
Wooster, OH 44691
Phone (330) 345-9050

Interoperability endpoints

  • Direct secure messaging: sbruck28289@ehrdirect.uhhospitals.org
  • Direct secure messaging: selena.bruck@respandsleepdisordersconsultant.ehi.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1336756956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR STE 250",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR STE 250",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455277",
            "telephone_number": "440-827-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCK",
        "first_name": "SELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.