AMANDA BRUCE (CRNP) – Acute Care Nurse Practitioner, NPI 1194436980

AMANDA BRUCE (CRNP) is a healthcare provider. based in Frederick, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R202108 (MD). The NPI Number for AMANDA BRUCE (CRNP) is 1194436980

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BRUCE (CRNP)
NPI
1194436980
Phone
Not provided
Address
74 THOMAS JOHNSON DR
Enumeration Date
12 December 2022
Last Update Date
12 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3016949033
Graduation Year
2022 (4 years ago)
PAC ID
4486197902
Group Practice PAC ID
7012927759
Professional Enrollment ID
I20240625000856
Address ID
MD217014547FR900XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for AMANDA BRUCE (CRNP)

  • 74 THOMAS JOHNSON DR

    FREDERICK, MD 217024501

    Phone:

    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 34 Open Payments records for all available years, with a total value of $800.

Total Amount is formed as General ($800) + Research ($0) + Ownership ($0) = $800.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($165).

Total Amount

$800

General + Research + Ownership

Payments

34

Total payment records

General Amount

$800

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2025-01-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240625000856INurse PractitionerMDTBD
I20250107004163INurse PractitionerDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21702)

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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: 7012927759View full group profile
NameSpecialtyState
Nurse PractitionerMD
Cardiovascular Disease (Cardiology), Internal MedicineMD
Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)AR
Physician AssistantMD
Physician AssistantMD
Physician AssistantNC
Interventional Cardiology, Cardiovascular Disease (Cardiology), Peripheral Vascular DiseasePA
Cardiovascular Disease (Cardiology), Internal MedicineVA
Cardiovascular Disease (Cardiology), Internal MedicineMD
Cardiovascular Disease (Cardiology), Internal MedicineMD

Reviews

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Frequently asked questions

What is AMANDA BRUCE (CRNP)'s NPI number?
AMANDA BRUCE (CRNP)'s NPI is 1194436980 — the number used across U.S. healthcare to identify this provider.
Is AMANDA BRUCE (CRNP) still an active registrant?
AMANDA BRUCE (CRNP) carries an active NPI according to the public dataset.
What kind of doctor is AMANDA BRUCE (CRNP)?
AMANDA BRUCE (CRNP) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is AMANDA BRUCE (CRNP) located near Frederick?
AMANDA BRUCE (CRNP) currently maps to Frederick, Maryland in this extract.
Can I trust this NPI listing for AMANDA BRUCE (CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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