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

Rebecca Nicole Brueck, MSNRNPMHNP-BC

Individual provider Registered Nurse · NPI 1003120510

Rebecca Nicole Brueck, MSNRNPMHNP-BC is a Nurse Practitioner in Lagrange, Indiana. Qualified in 2016, 10 years ago. Practices with Illume Wellness Group, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
10
Licensed in
IN, MI
In the registry since
2010
Specialties on file
2

Practice location Address checks out

836 N Detroit St
Lagrange, IN 46761-1112
Phone: (260) 499-3019
Fax: (260) 499-3022
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71017278A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 4704277738 (MI)

Record details

NPI number1003120510
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNPMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Illume Wellness Group — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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