BRUCE ANDERSON – Nurse Practitioner, NPI 1386049211

BRUCE ANDERSON is a healthcare provider. based in Hancock, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704248670 (MI). The NPI Number for BRUCE ANDERSON is 1386049211

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE ANDERSON
NPI
1386049211
Phone
(906) 483-1000
Address
500 CAMPUS DR
Enumeration Date
4 November 2014
Last Update Date
4 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
5698099083
Group Practice PAC ID
6103053509
Professional Enrollment ID
I20150113000063
Address ID
MI499301452HA500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for BRUCE ANDERSON

  • 500 CAMPUS DR

    HANCOCK, MI 499301452

    Phone: (906) 483-1000

    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 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($74).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-01-13

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
I20150113000063INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10491$0
81002Urinalysis, manual test1414$0
View full utilization report →

Insurance plans in this area (ZIP 49930)

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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: 6103053509View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
R H E U M A T O L O G YNC
General SurgeryMI
Nurse PractitionerMI
Emergency MedicineMI
-MI
U R O L O G YPA
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

How do payers reference BRUCE ANDERSON?
For BRUCE ANDERSON, use NPI 1386049211 as the unique 10-digit identifier.
Is there an active status for BRUCE ANDERSON?
For scheduling context, BRUCE ANDERSON is shown as active in the registry.
What clinical focus is listed for BRUCE ANDERSON?
At a glance, BRUCE ANDERSON is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRUCE ANDERSON located near Hancock?
BRUCE ANDERSON currently maps to Hancock, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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