Leeann Bruns, APRN
Individual provider Active NPI Family Nurse Practitioner · Chadron, NE
NPI 1972048379 · NPPES record last updated Dec 18, 2022
Key facts
- NPI
- 1972048379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 114469 (NE)
- Practice address
- 825 Centennial Dr
Chadron, NE 69337-9400 - Phone
- (308) 432-4441
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chadron Medical Clinic PC
Practice addresses (Care Compare)
825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843244412306
Hospital & facility affiliations
- Chadron Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230218000415 | NE | Practitioner - Nurse Practitioner | 0840662912 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52426 | NE | MD | Registered Nurse |
| 114469 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadron Community Hospital Corp. | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Chadron Medical Clinic PC | Past | Accepting new patients |
Locations
825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 52426 | NE | |
| Family Nurse Practitioner | 363LF0000X | 114469 | NE | Yes |
Addresses
Primary practice location
825 Centennial Dr
Chadron, NE 69337-9400
Mailing address
825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-4441
Other practice location 1
East Highway 18
Pine Ridge, SD 57770
Phone (605) 867-5131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52426 | Other | NE | NEBRASKA NURSING LICENSE |
Other providers in Chadron, NE
- Lisa A. Briggs
- Karen Broberg
- Bentley Brodrick
- Sarah Marie Brodrick
- Rebecca Ann Brost
- Jennifer Jewell Burgess
- Adrianna Calle
- Jeanice Gail Caporaso
- Carissa Elliott and Michael Leach
- Amy Carnahan
All providers in Chadron, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.