Individual provider Active NPI

Elise Bruce, DNP, FNP-C

  • Family Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1902589823
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R253187 Issued in MD
Practice address
2191 Defense Hwy Ste 201
Crofton, MD 21114-2469
Phone
(410) 451-9091
NPI assigned
Aug 8, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 R253187 MD Primary

Addresses

Primary practice location

2191 Defense Hwy Ste 201
Crofton, MD 21114-2469

Mailing address

3105 Riverwalk Dr
Annapolis, MD 21403-4668
Phone (410) 991-4371

Other practice location 1

3105 Riverwalk Dr
Annapolis, MD 21403-4668
Phone (410) 991-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20241210000381 DC Practitioner - Nurse Practitioner 5799133187 Reassigns benefits to 1 organization
I20251002004595 MD Practitioner - Nurse Practitioner 5799133187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Family Medicine LLCGroup PAC ID 7416186838, 7 clinicians

Practice addresses (Care Compare)

104 Ridgely Ave
Annapolis, MD 21401-1439

104 Ridgely Ave
Suite 302
Annapolis, MD 21401-1441
Phone (410) 280-9500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 10, 2023 Accepting new patients
Annapolis Family Medicine LLC CurrentSince Jul 7, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 10, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 5, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

104 Ridgely Ave
Ste 302
Annapolis, MD 21401
Phone (410) 280-9500

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

703 Giddings Ave
Ste M
Annapolis, MD 21401
Phone (410) 224-7795

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

Interoperability endpoints

  • Direct secure messaging: ebruce165193@direct.aahs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1902589823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 RIVERWALK DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034668",
            "telephone_number": "410-991-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY STE 201",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142469",
            "telephone_number": "410-451-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Riverwalk Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214034668",
            "country_code": "US",
            "telephone_number": "410-991-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R253187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.