Individual provider Active NPI

Leeann Bruns, APRN

  • Family Nurse Practitioner
  • Chadron, NE
National Provider Identifier
1972048379
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114469 Issued in NE
Practice address
825 Centennial Dr
Chadron, NE 69337-9400
Phone
(308) 432-4441
NPI assigned
Dec 21, 2016
Last updated
Dec 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 52426 NE
Family Nurse Practitioner 363LF0000X 114469 NE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20230218000415 NE Practitioner - Nurse Practitioner 0840662912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chadron Medical Clinic PCGroup PAC ID 8022086453, 11 clinicians

Practice addresses (Care Compare)

825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843244412306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52426NEMDRegistered Nurse
114469NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chadron Community Hospital Corp. CurrentSince Jan 1, 2026 Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients
Chadron Medical Clinic PC Past Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

Organizations & group practices 5

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1972048379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "East Highway 18",
            "address_purpose": "LOCATION",
            "city": "Pine Ridge",
            "state": "SD",
            "postal_code": "57770",
            "country_code": "US",
            "telephone_number": "605-867-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "LEEANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "52426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadron, NE

Sources for this page

Verify at the official NPI Registry.