REBECCA NICOLE BRUECK (MSN RN PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003120510
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for REBECCA NICOLE BRUECK (MSN RN PMHNP-BC)
677 EAST MAIN
SUITE A
CENTREVILLE, MI 49032
Phone: (269) 467-1000
Fax: (269) 467-4238
Type: Mailing
2621 E JEFFERSON ST
WARSAW, IN 465803880
Phone: (574) 267-7169
Fax: (574) 269-4189
Type: Mailing
836 N DETROIT ST
LAGRANGE, IN 467611112
Phone: (260) 499-3019
Fax: (260) 499-3022
Type: Location
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 $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($53).
Total Amount
$53
General + Research + Ownership
Payments
1
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $53 |
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: 2025-12-04
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170103001421 | I | Nurse Practitioner | MI | TBD |
| I20251204003346 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI |
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