Individual provider Active NPI

Lauren Specht Bruff, APN

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1518243260
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN16117 Issued in TN
Practice address
7600 Wolf River Blvd
Suite 130
Germantown, TN 38138-1785
Phone
(901) 755-5300
Fax
(901) 758-2276
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 APN16117 TN Primary

Addresses

Primary practice location

7600 Wolf River Blvd
Suite 130
Germantown, TN 38138-1785

Mailing address

PO Box 2757
Cordova, TN 38088-2757
Phone (901) 755-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111207000166 TN Practitioner - Nurse Practitioner 2062687817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Ear Nose and Throat PCGroup PAC ID 3779568092, 32 clinicians

Practice addresses (Care Compare)

7600 Wolf River Blvd
Suite 220
Germantown, TN 38138-1788
Phone (901) 755-5300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Nov 1, 2011 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. CurrentSince Nov 17, 2019 Accepting new patients
North Internal Medicine, P. C. PastSince Nov 9, 2020 Accepting new patients

Locations

7378 Yale Rd
Bartlett, TN 38133
Phone (901) 387-0193

8001 Centerview Pkwy
Ste 202
Cordova, TN 38018

7600 Wolf River Blvd
Ste 220
Germantown, TN 38138

7600 Wolf River Blvd
Ste 130
Germantown, TN 38138

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1518243260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380882757",
            "telephone_number": "901-755-5300",
            "fax_number": "901-753-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WOLF RIVER BLVD",
            "address_2": "SUITE 130",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381785",
            "telephone_number": "901-755-5300",
            "fax_number": "901-758-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUFF",
        "first_name": "LAUREN",
        "middle_name": "SPECHT",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.