Individual provider Active NPI

Erica Bruns Hegeman, FNP-BC

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1356753040
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125600 Issued in TX
Practice address
1215 Kinwest Pkwy
Ste 120
Irving, TX 75063
Phone
(214) 496-0500
Fax
(214) 496-0922
NPI assigned
May 29, 2014
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 AP125600 TX Primary

Addresses

Primary practice location

1215 Kinwest Pkwy
Ste 120
Irving, TX 75063

Mailing address

1215 Kinwest Pkwy
Ste 120
Irving, TX 75063
Phone (214) 496-0500

Other names 1

  • Erica D Bruns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160209000725 TX Practitioner - Nurse Practitioner 2365746542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry G Raroque Jr MD PAGroup PAC ID 2961449418, 3 clinicians

Practice addresses (Care Compare)

1215 Kinwest Pkwy
Irving, TX 75063-3403
Phone (214) 496-0500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry G Raroque Jr MD PA CurrentSince Jun 20, 2018 Accepting new patients

Locations

1215 Kinwest Pkwy
#120
Irving, TX 75063
Phone (214) 496-0500

701 Tuscan Dr
Ste 280
Irving, TX 75039
Phone (214) 496-0500

769 Bandit Trl
Keller, TX 76248
Phone (214) 496-0500

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1356753040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY",
            "address_2": "STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY",
            "address_2": "STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGEMAN",
        "first_name": "ERICA",
        "middle_name": "BRUNS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BRUNS",
            "middle_name": "D",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.