Active NPI
Chelsie Bruck
- Family Nurse Practitioner
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A156478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCCurana Health of Iowa PLLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| A156478 | IA | MD | Family Nurse Practitioner |
| 209020389 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Illinois PC | Current | Accepting new patients | |
| Curana Health of Iowa PLLC | Current | Accepting new patients | |
| CH Specialty Services Ia PC | Current | Accepting new patients | |
| CH Specialty Services Il PLLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.