Victoria Brueggert

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209015788 Issued in IL

Practice address

1 Medical Center Dr
Galena, IL 61036-8118

Phone

(815) 777-1340

Fax

(815) 776-7265

NPI assigned

May 5, 2017

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, TX2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Psychiatric Services, MDSCGroup PAC ID 2365858289, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: midwestmedical@midwestmedicalcenter.cernerdirect.com
• Direct secure messaging: victoria.brueggert.p1@direct.gefcc.nextgenshare.com
• Direct secure messaging: victoria.brueggert.p16@direct.fhn-fqhc.nextgenshare.com

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.

• Mindful Psychiatric Services, MDSC

  • Psychiatry Physician
  • Morris, IL
  • NPI 1801409974
  Medicare reassignment Care Compare group NPD
• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Morris, IL
  • NPI 1427205111
  Medicare reassignment NPD
• Life Balance Counseling and Wellness Inc

  • Clinical Social Worker
  • La Salle, IL
  • NPI 1912409681
  Medicare reassignment NPD
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Medicare reassignment NPD
• Yakutat Tribal Health Board

  dba Yakutat Community Health Center

  • Clinic/Center
  • Yakutat, AK
  • NPI 1871529628

  Nurse Practitioner, TX

  Medicare reassignment NPD
• Tori Brueggert, PLLC

  dba Sound Mind Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Diamond, IL
  • NPI 1063234540
  NPD Authorized official
• Midwest Medical Center

  • Rural Health Clinic/Center
  • Elizabeth, IL
  • NPI 1295286045
  NPD
• Yakutat Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yakutat, AK
  • NPI 1124741665
  NPD (past)

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1992231260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CRYSTAL LN",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604167086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610368118",
            "telephone_number": "815-777-1340",
            "fax_number": "815-776-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEGGERT",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Midwest Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1 Medical Center Dr",
            "city": "Galena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610368118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Berning, PT, DPT
• Lisa Ann Bourquin, FNP-APNP
• Theresa Lynn Brehm, PHARMD
• Tara Lynn Brown, PHARM D
• William Bruce-Boehler, LCSW
• Melissa Jane Webb Burke, R.D.,L.D.
• Robert Frank Chorak, DDS
• Debbie Ann Cihak, M.D.
• Agnieszka Cluchey, D.C.
• Stephanie Cocagne, LCPC

• Nurse Practitioner in Galena, IL
• Providers in Galena, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.