MRS. KIMBERLY K BRUYERE (ANP) – Nurse Practitioner, NPI 1881626331

MRS. KIMBERLY K BRUYERE (ANP) is a healthcare provider. based in Rogers, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. A003069 (AR). The NPI Number for MRS. KIMBERLY K BRUYERE (ANP) is 1881626331

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY K BRUYERE (ANP)
NPI
1881626331
Phone
(479) 338-3888
Address
2708 RIFE MEDICAL LN
Enumeration Date
7 July 2006
Last Update Date
16 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
4796312100
Graduation Year
1998 (28 years ago)
PAC ID
6800974809
Group Practice PAC ID
0648177873
Professional Enrollment ID
I20080416000225
Address ID
AR727124900BE3101XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MRS. KIMBERLY K BRUYERE (ANP)

  • 2708, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    SUITE 210

    ROGERS, AR 727581452

    Phone: (479) 338-3888

    Fax: (479) 338-4453

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,311.

Total Amount is formed as General ($1,311) + Research ($0) + Ownership ($0) = $1,311.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($295).

Total Amount

$1,311

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080416000225INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes431354$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648177873View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerAR
Internal Medicine, General PracticeAR
-AR
R H E U M A T O L O G YAR
-AR
-AR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

How is MRS. KIMBERLY K BRUYERE (ANP) identified in CMS data?
CMS-hosted NPPES data lists MRS. KIMBERLY K BRUYERE (ANP) with NPI 1881626331.
Does the file indicate MRS. KIMBERLY K BRUYERE (ANP) is practicing under active NPI?
Directory data currently reports MRS. KIMBERLY K BRUYERE (ANP) as active.
What is MRS. KIMBERLY K BRUYERE (ANP)'s primary classification?
Nurse Practitioner is the headline specialty for MRS. KIMBERLY K BRUYERE (ANP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KIMBERLY K BRUYERE (ANP)?
MRS. KIMBERLY K BRUYERE (ANP)'s geographic hint is Rogers, Arkansas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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