Meredith Nicole Brueggemann, APRN
Individual provider Active NPI Nurse Practitioner · Crestview Hills, KY
NPI 1629684196 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1629684196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3015178 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Orthopaedics and Sports Medicine LTD
Practice addresses (Care Compare)
500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 251-7827
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220221000299 | OH | Practitioner - Nurse Practitioner | 4880013549 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149675 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Pain and Wellness | Current |
Accepting new patients |
Locations
340 Thomas More Pkwy
Ste 260
Crestview Hills, KY 41017
Phone (859) 957-0700
Interoperability endpoints
- meredith.brueggeman.p1@direct.beaconortho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1149675 | KY | |
| Nurse Practitioner | 363L00000X | 3015178 | KY | Yes |
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
Other providers in Crestview Hills, KY
- Christina Brown
- Ty Brown
- Amanda Michelle Browne
- Suzana Brozovic
- Melissa Renee Brueggemann
- Del A Burchell
- Charles Jeffrey Burgher
- Charlene Burlew
- Kerrin D Burte
- Katherine Lee Bushong
All providers in Crestview Hills, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.