Individual provider Active NPI

Christine Amber Bruce, ARNP

  • Family Nurse Practitioner
  • Longview, WA
National Provider Identifier
1669007605
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
N361084411 Issued in WA
Practice address
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone
(366) 074-7580
Fax
(360) 575-3846
NPI assigned
Mar 10, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 N361084411 WA Primary

Addresses

Primary practice location

1718 E Kessler Blvd
Longview, WA 98632-1842

Mailing address

804 Allen St
Kelso, WA 98626-4456
Phone (360) 414-8818

Other practice location 1

26621 Hammond Rd
Rainier, OR 97048-3413
Phone (503) 396-2382

Other practice location 2

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2385

Other practice location 3

812 Ocean Beach Hwy Ste 200
Longview, WA 98632-4082
Phone (360) 636-6900

Other practice location 4

804 Allen St
Kelso, WA 98626-4456
Phone (360) 414-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210205002147 WA Practitioner - Nurse Practitioner 3779997515 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
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

1660 Delware St
Longview, WA 98632-2310
Phone (360) 414-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N361084411WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Mar 15, 2021 Accepting new patients
Peacehealth Past Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1718 E Kessler Blvd
Longview, WA 98632
Phone (360) 747-5800

812 Ocean Beach Hwy
Ste 200
Longview, WA 98632
Phone (360) 501-3547

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: cbruce21762@direct.peacehealth.org

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.

Hospital & facility affiliations 2

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1669007605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264456",
            "telephone_number": "360-414-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E KESSLER BLVD",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321842",
            "telephone_number": "366-074-7580",
            "fax_number": "360-575-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26621 Hammond Rd",
            "address_purpose": "LOCATION",
            "city": "Rainier",
            "state": "OR",
            "postal_code": "970483413",
            "country_code": "US",
            "telephone_number": "503-396-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2385",
            "fax_number": "360-414-2386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Ocean Beach Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986324082",
            "country_code": "US",
            "telephone_number": "360-636-6900",
            "fax_number": "360-636-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Allen St",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986264456",
            "country_code": "US",
            "telephone_number": "360-414-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "CHRISTINE",
        "middle_name": "AMBER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "N361084411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.