Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245357573 Individual Practitioner Female Practitioner

Mary Jane Bruen , NP

Nurse Practitioner - Pediatrics • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Mary Bruen, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Lansing, MI. Practice services are available at 1200 E MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave
Suite 460

Lansing, MI 489121800

Telephone 5173645490
Fax 5173645499
Associated Practice Facility / Clinic
🏢 Michigan State University Facility NPI 1205880333

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Lansing, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704110413

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4327027 (MI)
Commercial Insurance / Payer ID Bcbs Individual Pin
5008765830 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1154598654

Doctor of Medicine (M.D.)

Shannon Zaporski , RD

Dietitian, Registered

NPI 1205582640

Registered Dietitian

Sydney Wagner , PA-C

Physician Assistant

NPI 1275407264

Physician Assistant (Certified)

Julie Dunneback , NP

Nurse Practitioner - Pediatrics

NPI 1356431282

Nurse Practitioner

Dr. Douglas Henry , MD

Pediatrics - Pediatric Endocrinology

NPI 1427149426

Doctor of Medicine (M.D.)

Dr. Elena Sutu , MD

Pediatrics - Pediatric Endocrinology

NPI 1528398195

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1200 E MICHIGAN AVE, SUITE 460, LANSING, MI 489121800 (Tel: 5173645490)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 13008, LANSING, MI 489013008 (Tel: 5173646253)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY BRUEN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704110413 in MI)

🟢
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245357573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 13008

Lansing, MI 489013008

Phone: 5173646253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.