Individual provider Active NPI

Meredith Nicole Brueggemann, APRN

  • Nurse Practitioner
  • Crestview Hills, KY
National Provider Identifier
1629684196
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015178 Issued in KY
Practice address
340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Phone
(859) 957-0700
Fax
(859) 957-0703
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1149675 KY
Nurse Practitioner 363L00000X 3015178 KY Primary

Addresses

Primary practice location

340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117

Mailing address

340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Phone (859) 957-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220221000299 OH Practitioner - Nurse Practitioner 4880013549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 251-7827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1149675KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen Pain and Wellness CurrentSince Jul 7, 2024 Accepting new patients

Locations

340 Thomas More Pkwy
Ste 260
Crestview Hills, KY 41017
Phone (859) 957-0700

Interoperability endpoints

  • Direct secure messaging: meredith.brueggeman.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1629684196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 260",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175117",
            "telephone_number": "859-957-0700",
            "fax_number": "859-957-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 260",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175117",
            "telephone_number": "859-957-0700",
            "fax_number": "859-957-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEGGEMANN",
        "first_name": "MEREDITH",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1149675",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.