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

Jessica Sophia Bronner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1750651188

Jessica Sophia Bronner, FNP-C is a Nurse Practitioner in Michigan City, Indiana. Qualified in 2011, 15 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1225 E Coolspring Ave Ste 2B
Michigan City, IN 46360-6312
Phone: (219) 878-5029
Fax: (219) 878-8493
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 28142364A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71003880A (IN)

Record details

NPI number1750651188
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2012
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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