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

Ksenia Bruner

Individual provider Nurse Practitioner · NPI 1508352642

Ksenia Bruner is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2018, 8 years ago. Practices with Hospitalist Physicians of Indiana PC, a 150-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

2231 Carew St
Fort Wayne, IN 46805-4713
Phone: (260) 266-7856
Fax: (260) 266-5279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71008129A (IN)

Record details

NPI number1508352642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hospitalist Physicians Of Indiana Pc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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