2026 NPPES data Family Health Clinical Nurse Specialist NPI 1124445341 APRN MSN FNP-BC
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JULIE BRUSCA, APRN MSN FNP-BC

Family Health Clinical Nurse Specialist in STERLING HEIGHTS, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 284 beneficiaries · Family Health Clinical Nurse Specialist avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

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 90% generic.

1K
Part D claims, 2023
90%
generic prescribing

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 Top 22% higher than 78% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). This entry sits in this band. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

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 reported

NPI registry status

Active

Issued 03/26/2014

NPI 1124445341

Primary specialty

Family Health Clinical Nurse Specialist

Niche

589 US NPIs in this specialty

Medicare Part D claims

1,261 12% vs specialty avg

2023 prescription claims

Specialty avg: 1,429

Specialty distribution in Michigan

How Family Health Clinical Nurse Specialist compares to other specialties among Michigan providers

Michigan providers

Family Health Clinical Nurse Specialist share within Michigan

1. Family Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Health Clinical Nurse Specialist share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Family Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Family Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Health Clinical Nurse Specialist) — ABMS / AOA estimate

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BRUSCA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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 90% generic by claim count, with an opioid prescribing rate of 2.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Health Clinical Nurse Specialist is a narrow specialty nationwide, with 589 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

43455 SCHOENHERR RD
STERLING HEIGHTS, MI 48313

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%
Specialty average (est.)

10% brand-name claims vs 90% 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 / 90% 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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Family Health Clinical Nurse Specialist Overview

How JULIE BRUSCA, APRN MSN FNP-BC fits within the Family Health Clinical Nurse Specialist landscape nationally.

589
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.

Compare Family Health Clinical Nurse Specialist nationally: see state-by-state distribution →

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 90% 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 589 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

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