SAMANTHA ANN BRUNE (FNP-BC) – Family Nurse Practitioner, NPI 1245002203

SAMANTHA ANN BRUNE (FNP-BC) is a healthcare provider. based in Fort collins, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APN.0999200-NP (CO). The NPI Number for SAMANTHA ANN BRUNE (FNP-BC) is 1245002203

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ANN BRUNE (FNP-BC)
NPI
1245002203
Phone
(970) 817-3031
Address
1103 Oak Park Dr
Enumeration Date
24 October 2023
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207495599
Graduation Year
2023 (3 years ago)
PAC ID
9335630995
Group Practice PAC ID
7911255013
Professional Enrollment ID
I20251112001416
Address ID
CO806315153GR1900XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for SAMANTHA ANN BRUNE (FNP-BC)

  • 1103 Oak Park Dr

    Fort Collins, CO 805256273

    Phone: (970) 817-3031

    Type: Location

  • 5445 DTC PKWY STE 1130

    GREENWOOD VILLAGE, CO 801113038

    Phone: (720) 749-5599

    Fax: (720) 925-5897

    Type: Mailing

  • 1900 16TH ST UNIT 400

    GREELEY, CO 806315175

    Phone: (720) 749-5599

    Fax: (720) 925-5897

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251112001416INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911255013View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantCO
Physician AssistantCO
Physician AssistantMA
Physician AssistantCO
Anesthesiology, Interventional Pain ManagementWA
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantNV

Reviews

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Frequently asked questions

Is there an official ID for SAMANTHA ANN BRUNE (FNP-BC) in U.S. healthcare records?
The official identifier for SAMANTHA ANN BRUNE (FNP-BC) is NPI 1245002203.
Active or inactive — what applies to SAMANTHA ANN BRUNE (FNP-BC)?
You should see SAMANTHA ANN BRUNE (FNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe SAMANTHA ANN BRUNE (FNP-BC)'s focus?
For SAMANTHA ANN BRUNE (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMANTHA ANN BRUNE (FNP-BC) located near Fort Collins?
SAMANTHA ANN BRUNE (FNP-BC) currently maps to Fort Collins, Colorado in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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