Individual provider Active NPI

Marissa Lynne Bruin

  • Family Nurse Practitioner
  • Rochester, MI
National Provider Identifier
1811649130
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704280428 Issued in MI
Practice address
900 W University Dr Ste B6
Rochester, MI 48307-1978
Phone
(248) 429-9258
Fax
(877) 515-5197
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 4704280428 MI Primary

Addresses

Primary practice location

900 W University Dr Ste B6
Rochester, MI 48307-1978

Mailing address

900 W University Dr Ste B6
Rochester, MI 48307-1978
Phone (248) 429-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250724002484 MI Practitioner - Nurse Practitioner 0244747376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 W University Dr
Suite B6
Rochester, MI 48307-1978
Phone (586) 909-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704280428MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Insight LLC Family CurrentSince Jun 1, 2025 Accepting new patients

Locations

900 W University Dr
Ste B6
Rochester, MI 48307
Phone (248) 429-9258

Interoperability endpoints

  • Direct secure messaging: marissa.bruin.1@31078.direct.athenahealth.com

Organizations & group practices 1

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1811649130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W UNIVERSITY DR STE B6",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071978",
            "telephone_number": "248-429-9258",
            "fax_number": "877-515-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W UNIVERSITY DR STE B6",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071978",
            "telephone_number": "248-429-9258",
            "fax_number": "877-515-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUIN",
        "first_name": "MARISSA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704280428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.