Individual provider Active NPI

Audrae Dawn Bruce, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1528765146
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223450 Issued in AR
Practice address
7001 Rogers Ave # 600
Fort Smith, AR 72903-4073
Phone
(479) 573-3101
Fax
(479) 573-3102
NPI assigned
Feb 14, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 223450 AR Primary

Addresses

Primary practice location

7001 Rogers Ave # 600
Fort Smith, AR 72903-4073

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 364-4200

Other practice location 1

6801 Phoenix Ave
Fort Smith, AR 72903-5057
Phone (479) 384-5378

Other practice location 2

4620 Rogers Ave Ste 101
Fort Smith, AR 72903-3121
Phone (479) 384-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230314002203 AR Practitioner - Nurse Practitioner 1658745666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7001 Rogers Ave
FL 6
Fort Smith, AR 72903-4073
Phone (479) 573-3101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223450ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Mar 5, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 15, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 15, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

4620 Rogers Ave
Ste 101
Fort Smith, AR 72903
Phone (479) 384-5380

6801 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 384-5378

7001 Rogers Ave
#600
Fort Smith, AR 72903
Phone (479) 573-3101

7001 Rogers Ave
Fl 6
Fort Smith, AR 72903
Phone (479) 274-5100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

Organizations & group practices 4

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 1

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1528765146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-364-4200",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE # 600",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034073",
            "telephone_number": "479-573-3101",
            "fax_number": "479-573-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Phoenix Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035057",
            "country_code": "US",
            "telephone_number": "479-384-5378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 Rogers Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033121",
            "country_code": "US",
            "telephone_number": "479-384-5380",
            "fax_number": "479-384-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "AUDRAE",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.