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

Nicole Bruey-Pernell, APRN

Individual provider Nurse Practitioner · NPI 1386253714

Nicole Bruey-Pernell, APRN is a Nurse Practitioner in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Kootenai Urgent Care LLC, an 18-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
6
Licensed in
ID, WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4815 N Assembly St
Spokane, WA 99205-6185
Phone: (509) 434-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 W Ironwood Dr # 120e, Coeur D Alene, ID 83814-2656 — (208) 625-3600
  • 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 — (509) 444-8200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61151485 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 67422 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 67422 (ID)

Record details

NPI number1386253714
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kootenai Urgent Care Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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