Individual provider Active NPI

Danielle C Bruder, APRN

  • Critical Care Medicine Nurse Practitioner
  • Madison, WI
National Provider Identifier
1790073997
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
4551-33 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-3522
Phone
(608) 263-8100
NPI assigned
Jul 21, 2011
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 163437 WI
Acute Care Nurse Practitioner 363LA2100X APRN11020131 FL
Critical Care Medicine Nurse Practitioner 363LC0200X 4551-33 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-3522

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

9200 W Wisconsin Ave
Division of Pulmonary Disease
Milwaukee, WI 53226-3522
Phone (414) 955-7040

Other practice location 2

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283

Other identifiers 1

IdentifierTypeStateIssuer
1790073997MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111109000641 WI Practitioner - Nurse Practitioner 7911170873 Reassigns benefits to 3 organizations
I20220801002138 FL Practitioner - Nurse Practitioner 7911170873 Reassigns benefits to 1 organization
I20240814001518 OH Practitioner - Nurse Practitioner 7911170873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163437WIMDNurse Practitioner
4551-33WIMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Acute Care CurrentSince Sep 1, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Oct 1, 2011 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 3, 2022 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Aug 15, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Apr 28, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 3, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2139 Auburn Ave
#47
Cincinnati, OH 45219

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-5236

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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 1

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1790073997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923522",
            "telephone_number": "608-263-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_2": "DIVISION OF PULMONARY DISEASE",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-7040",
            "fax_number": "414-955-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-7283",
            "fax_number": "407-303-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUDER",
        "first_name": "DANIELLE",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "163437",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11020131",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WI",
            "license": "4551-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790073997",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.