Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Odelia Bruggeman, NP

Individual provider Family Nurse Practitioner · NPI 1114020104

Alice Odelia Bruggeman, NP is a Nurse Practitioner in Portland, Indiana. Qualified in 2000, 26 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

428 W Votaw St Ste A
Portland, IN 47371-0710
Phone: (260) 726-8822
Fax: (260) 726-7857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71000942A (IN)

Record details

NPI number1114020104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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