NPI registry status
Active
2026 NPPES data Family Health Clinical Nurse Specialist NPI 1124445341 APRN MSN FNP-BC
Verify on CMS → Julie Brusca, APRN MSN FNP-BC
Family Health Clinical Nurse Specialist in Sterling Heights, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 585 in Family Health Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 284 beneficiaries · Family Health Clinical Nurse Specialist avg: 1K
Generic prescribing
87%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Julie Brusca, APRN MSN FNP-BC filed 1,261 Medicare Part D claims in 2023 as a Family Health Clinical Nurse Specialist in Sterling Heights, Michigan, prescribing 87% generic.
- 1K
- Part D claims, 2023
- 87%
- generic prescribing
- ≥78th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Julie Brusca, APRN MSN FNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,261 ≥ 78th percentile 78% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Julie Brusca, APRN MSN FNP-BC?
Quality data not reportedPrimary specialty
Family Health Clinical Nurse Specialist
Medicare Part D claims
1,261 12% vs specialty avg
Specialty distribution in Michigan
How Family Health Clinical Nurse Specialist compares to other specialties among Michigan providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Health Clinical Nurse Specialist. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Julie Brusca, APRN MSN FNP-BC appears in the CMS NPPES registry as a Family Health Clinical Nurse Specialist provider holding APRN MSN FNP-BC credentials at 43455 SCHOENHERR RD, Sterling Heights, MI, 48313, with a listed phone of (586) 344-2568. NPI 1124445341 was issued on 03/26/2014.
Medicare Part D records for calendar year 2023 show 1,261 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $76K in drug spend, split 10% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.4%.
Family Health Clinical Nurse Specialist is a narrow specialty nationwide, with 585 enrolled providers across 48 states and an average of 1,429 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1124445341 |
|---|---|
| Specialty | Family Health Clinical Nurse Specialist |
| Credentials | APRN MSN FNP-BC |
| Gender | Female |
| NPI Issued | 03/26/2014 |
License & disciplinary context - Michigan MI-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Julie Brusca, APRN MSN FNP-BC. To verify Julie Brusca, APRN MSN FNP-BC's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Julie Brusca, APRN MSN FNP-BC - brand share 10.0%
Family Health Clinical Nurse Specialist average
10% brand-name claims vs 87% generic, on 1,261 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,261
Total Claims
$76K
Total Drug Cost
284
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,821
- Total Day Supply
- 79,577
- Brand vs Generic
- 10% brand / 87% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $22K
- Opioid Claims
- 30 (2.4% rate)
- Antibiotic Claims
- 92
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 30, 65-74: 152, 75-84: 80, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Julie Brusca, APRN MSN FNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
70 claims
- Lisinopril
Lisinopril
56 claims
- Metformin Hcl
Metformin Hcl
48 claims
- Simvastatin
Simvastatin
43 claims
- Atorvastatin Calcium
Atorvastatin Calcium
39 claims
- Metoprolol Succinate
Metoprolol Succinate
37 claims
- Omeprazole
Omeprazole
35 claims
- Losartan Potassium
Losartan Potassium
32 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 70 |
| Lisinopril | 56 |
| Metformin Hcl | 48 |
| Simvastatin | 43 |
| Atorvastatin Calcium | 39 |
| Metoprolol Succinate | 37 |
| Omeprazole | 35 |
| Losartan Potassium | 32 |
| Alprazolam | 30 |
| Methylprednisolone | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Family Health Clinical Nurse Specialist in MI →
All providers in Michigan →
Compare specialties →
Family Health Clinical Nurse Specialist Overview
How Julie Brusca, APRN MSN FNP-BC fits within the Family Health Clinical Nurse Specialist landscape nationally.
585
Family Health Clinical Nurse Specialist Providers in US
48
States with Family Health Clinical Nurse Specialist
1,429
Avg Claims per Provider
Julie Brusca, APRN MSN FNP-BC's 1,261 claims are below the specialty average of 1,429.
Nearby Family Health Clinical Nurse Specialist Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Brusca.
One of 9 Family Health Clinical Nurse Specialist providers enrolled in Michigan, 5 are shown here.
Dr. Ellen Buchler
FNP
Atlanta, MI
Dr. Marianne Coppens
FNP
Temperance, MI
Dr. Mira Edgerton
NURSE PRACTITIONER
Okemos, MI
Dr. Lisa Ferguson
FNP-BC
Carson City, MI
Dr. Shireen Fradi
NP
Troy, MI
Compare Family Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Health Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Julie Brusca, APRN MSN FNP-BC's specialty? ▼
Julie Brusca, APRN MSN FNP-BC specializes in Family Health Clinical Nurse Specialist and practices in Sterling Heights, Michigan. Credentials: APRN MSN FNP-BC.
How much does Julie Brusca, APRN MSN FNP-BC prescribe under Medicare Part D? ▼
In 2023, Julie Brusca, APRN MSN FNP-BC wrote 1,261 Medicare Part D claims totaling $76K in drug costs for 284 beneficiaries.
Where is Julie Brusca, APRN MSN FNP-BC located? ▼
Julie Brusca, APRN MSN FNP-BC is located at 43455 SCHOENHERR RD, Sterling Heights, MI, 48313. Phone: (586) 344-2568.
What is Julie Brusca, APRN MSN FNP-BC's NPI number? ▼
Julie Brusca, APRN MSN FNP-BC's National Provider Identifier (NPI) is 1124445341, issued on 03/26/2014.
Does Julie Brusca, APRN MSN FNP-BC prescribe more brand-name or generic drugs? ▼
Julie Brusca, APRN MSN FNP-BC's prescribing is 10% brand-name and 87% generic drugs by claim count, with $53K in brand drug costs.
Does Julie Brusca, APRN MSN FNP-BC prescribe opioids? ▼
Yes, Julie Brusca, APRN MSN FNP-BC had 30 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Family Health Clinical Nurse Specialist providers are there in the US? ▼
There are 585 Family Health Clinical Nurse Specialist providers across 48 states in the US. The average Family Health Clinical Nurse Specialist provider writes 1,429 Medicare Part D claims per year.
What drugs does Julie Brusca, APRN MSN FNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Julie Brusca, APRN MSN FNP-BC's most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Brusca, APRN MSN FNP-BC accept Medicare? ▼
Julie Brusca, APRN MSN FNP-BC appears in CMS Medicare data with 1,261 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Brusca, APRN MSN FNP-BC's credentials? ▼
Julie Brusca, APRN MSN FNP-BC's NPI is 1124445341 with credentials APRN MSN FNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.