Individual provider Active NPI

Chelsie Bruck

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1770133100
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A156478 Issued in IA
Practice address
2730 Crow Creek Rd
Bettendorf, IA 52722-2066
Phone
(563) 332-7463
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020389 IL
Family Nurse Practitioner 363LF0000X A156478 IA Primary

Addresses

Primary practice location

2730 Crow Creek Rd
Bettendorf, IA 52722-2066

Mailing address

5132 N Elston Ave
Chicago, IL 60630-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191112003115 IA Practitioner - Nurse Practitioner 4789016759 Reassigns benefits to 2 organizations
I20250205002191 IL Practitioner - Nurse Practitioner 4789016759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ia PC 130 clinicians
Curana Health of Iowa PLLC 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156478IAMDFamily Nurse Practitioner
209020389ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Illinois PC CurrentSince Jan 14, 2025 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Jan 28, 2025 Accepting new patients
CH Specialty Services Ia PC CurrentSince Jan 28, 2025 Accepting new patients
CH Specialty Services Il PLLC CurrentSince Jan 22, 2025 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1455 Hospital Rd
Silvis, IL 61282
Phone (309) 281-3270

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1770133100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 CROW CREEK RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222066",
            "telephone_number": "563-332-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCK",
        "first_name": "CHELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A156478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.