Nurse Practitioner
HEIDI BRUCKERT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831681402 · enumerated 2018-05-30 · record updated 2018-09-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1300 E GREEN BAY ST, SHAWANO, WI, 54166-2210 (715) 201-0870 Google Maps Apple Maps OpenStreetMap
- Mailing address 1300 E GREEN BAY ST, SHAWANO, WI, 54166-2210 (920) 496-4700 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 126356-30 WI
- Nurse Practitioner 363L00000X · Primary · License 8675-33 WI
In this directory
Locations and evidence
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Practice location
SHAWANO, WI, 541662210
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.