ALICE ODELIA BRUGGEMAN (NP) – Family Nurse Practitioner, NPI 1114020104
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for ALICE ODELIA BRUGGEMAN (NP)
428, West Votaw Street, Portland, Jay County, Indiana, 47371, United States
SUITE A, P.O. BOX 710
PORTLAND, IN 473710710
Phone: (260) 726-8822
Fax: (260) 726-7857
Type: Mailing
1200 W WHITE RIVER BLVD
MUNCIE, IN 473034988
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Axonics, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $16 |
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: 2010-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100618000401 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 217 | 125 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 106 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 47371)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nephrology, Internal Medicine | IN | |
| General Surgery | MI | |
| - | OH | |
| Family Practice | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | NC | |
| Infectious Disease, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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