Brandon Paul Kruse, FNP-C; PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

65554 Issued in ID

Practice address

943 W Overland Rd Ste 3587
Meridian, ID 83642-7618

Phone

(208) 880-5890

NPI assigned

Aug 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin County Medical Center Hospital, Preston, ID, CCN 131322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.kruse.1@17373.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

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.

• Franklin County Medical Center

  dba FCMC Specialty Clinic

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Medicare reassignment Care Compare group NPD
• Legion Medical LLC

  dba Embrace Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1467268235
  Medicare reassignment NPD Authorized official
• Lifeline Medical Center

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1265160451

  ID, Psychiatric/Mental Health

  Medicare reassignment NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1588185581

  ID

  Medicare reassignment NPD
• Franklin County Medical Center

  dba Franklin County Medical Center Home Health and Hospice

  • Home Health Agency
  • Preston, ID
  • NPI 1437927431
  NPD
• Ma Bo Inc

  dba House Call Doctors

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219
  NPD
• Franklin County Medical Center

  dba FCMC Medical Clinic

  • Rural Health Clinic/Center
  • Preston, ID
  • NPI 1144663543
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin County Medical Center

  dba FCMC Specialty Clinic

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1891308094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W OVERLAND RD STE 3587",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427618",
            "telephone_number": "208-880-5890",
            "fax_number": "208-586-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W OVERLAND RD STE 3587",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427618",
            "telephone_number": "208-880-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 N 1st E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Preston",
            "state": "ID",
            "postal_code": "832631326",
            "country_code": "US",
            "telephone_number": "208-852-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "BRANDON",
        "middle_name": "PAUL",
        "credential": "FNP-C; PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP6140750",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202011497",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13567379-4405",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "65554",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "65554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Krauser
• Kara M Kreizenbeck, LCSW
• Amber Layne Kroeger, MS CF SLP
• Garrett Kroon, LCPC
• Mark A Kropf, MD
• Iviee Gwynevere Kryger
• Jobeth Deanna Kuchar, MS, RD, CSP, LD
• Brooke Rae Kuebler
• Cameron A Kuehne, DMD, MS
• Anne Marie Kuhlmeier, SLP/CCC

• Psychiatric/Mental Health Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.