MEGAN MARIE BRUCI – Psychiatric/Mental Health Nurse Practitioner, NPI 1417817073

MEGAN MARIE BRUCI is a healthcare provider. based in Sault sainte marie, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704362785 (MI). The NPI Number for MEGAN MARIE BRUCI is 1417817073

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MEGAN MARIE BRUCI
NPI
1417817073
Phone
(906) 253-0108
Address
560 Osborn Blvd Ste E-1
Enumeration Date
17 November 2025
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062530108
Graduation Year
2025 (1 year ago)
PAC ID
5991288532
Group Practice PAC ID
7315936481
Professional Enrollment ID
I20260312000893
Address ID
MI497881592KI16523DRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MEGAN MARIE BRUCI

  • 560 Osborn Blvd Ste E-1

    Sault Sainte Marie, MI 497831961

    Phone: (906) 253-0108

    Type: Location

  • 4000 WELLNESS DR

    MIDLAND, MI 486702000

    Phone: (844) 832-1956

    Fax: (989) 633-5241

    Type: Mailing

  • 16523 S WATER TOWER DR

    KINCHELOE, MI 497881592

    Phone: (906) 632-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-12

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
I20260312000893INurse 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.

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

Insurance plans in this area (ZIP 49783)

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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: 7315936481View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantMI
Physician AssistantMI
D E R M A T O L O G YMI
Pain ManagementIL
-MI
E N D O C R I N O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI
-MI

Reviews

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Frequently asked questions

Does MEGAN MARIE BRUCI share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MEGAN MARIE BRUCI uses 1417817073.
Can I rely on MEGAN MARIE BRUCI being an active provider?
As of the registry snapshot, MEGAN MARIE BRUCI is marked active.
What taxonomy line describes MEGAN MARIE BRUCI?
For research purposes, treat MEGAN MARIE BRUCI as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MEGAN MARIE BRUCI?
MEGAN MARIE BRUCI's geographic hint is Sault Sainte Marie, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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