Heidi Marie Bruckert
NPI 1831681402ActiveIndividual· Nurse Practitioner· Shawano, WI
Nurse Practitioner with Green Bay Radiology SC, practicing in Shawano, Wisconsin. Enrolled in Medicare as practitioner - nurse practitioner. Baylis Medical Technologies Inc. reported $20.91 in payments in 2025, mostly food and beverage. Lists St Vincent Hospital as a hospital affiliation.
Overview
| NPI | 1831681402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 30, 2018 |
| Last updated in NPPES | Sep 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8675-33 | WI |
| Registered Nurse | 163W00000X | 126356-30 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Green Bay Radiology SCGreen Bay, WI · 24 clinicians
Hospital affiliation
- St Vincent HospitalGreen Bay, WI
Industry payments (Open Payments)
- 2025$20.91 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Baylis Medical Technologies Inc. | $20.91 | 1 |
What the 2025 payments were for
- Food and Beverage$20.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Shawano
- 1699423574
- 1457193104
- 1396104725
- 1013949122
- 1225962442
- 1437194255
- 1306182118
- 1942430996
- 1700909413
- 1750510103
- 1649603044
- 1528459070