Cindy M Mosbrucker, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

60016675 Issued in WA

Legal business name

CINDY M MOSBRUCKER, PLLC

Practice address

11505 Burnham Dr
Ste #302
Gig Harbor, WA 98332

Phone

(253) 313-5997

Fax

(253) 313-5179

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cindy Marie Mosbrucker, M.D.

Title

Owner

Phone

(253) 313-5997

Specialties & licenses 1

Addresses

Other names 1

• Pacific Endometriosis and Pelvic Surgery Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Huntington, ARNP

  • Family Nurse Practitioner
  • Lacey, WA
  • NPI 1831531821
  Medicare reassignment NPD
• Cynthia Marie Mosbrucker, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Gig Harbor, WA
  • NPI 1467544460
  Medicare reassignment NPD
• Crystal Leigh Walker, FNP-C

  • Family Nurse Practitioner
  • Puyallup, WA
  • NPI 1962159020
  Medicare reassignment NPD
• Trista Marie Newville, D.O.

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
  • NPI 1528324712

  WA

  Medicare reassignment NPD
• Jennifer Nadine Jaggi, MD

  • Obstetrics & Gynecology Physician
  • Gig Harbor, WA
  • NPI 1134361785
  NPD

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1508227448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DR",
            "address_2": "STE #302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-313-5997",
            "fax_number": "253-313-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DR",
            "address_2": "STE #302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-313-5997",
            "fax_number": "253-313-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY M MOSBRUCKER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MOSBRUCKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-313-5997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "60016675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Endometriosis and Pelvic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Endometriosis and Pelvic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Christine Christ, P161687447
• Justin Christie
• Mary Christie
• Angie J Christoph
• Jason Chung, M.D
• Citadel Psychiatry, PLLC
• CJ C Jang
• CJ C Jang DDS PLLC
• Margaret R Clair, LMHC
• Douglas Alan Clarke, DDS

• Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.