JARED L BRUNK (PA-C) – Medical Physician Assistant, NPI 1104890839

JARED L BRUNK (PA-C) is a healthcare provider. based in Jupiter, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9103230 (FL). The NPI Number for JARED L BRUNK (PA-C) is 1104890839

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JARED L BRUNK (PA-C)
NPI
1104890839
Phone
(561) 748-4445
Address
210 JUPITER LAKES BLVD.
Enumeration Date
17 February 2006
Last Update Date
15 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613913333
Graduation Year
2004 (22 years ago)
PAC ID
1052336013
Group Practice PAC ID
0042292849
Professional Enrollment ID
I20051008000098
Address ID
FL334862350BO900XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JARED L BRUNK (PA-C)

  • 210, Jupiter Lakes Boulevard, Jupiter, Palm Beach County, Florida, 33458, United States

    STE. 5105

    JUPITER, FL 33458

    Phone: (561) 748-4445

    Fax: (561) 748-4449

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $330.

Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Stryker Corporation ($159).

Total Amount

$330

General + Research + Ownership

Payments

9

Total payment records

General Amount

$330

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

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: 2005-10-08

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
I20051008000098IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69210Removal of impacted ear wax1,148672$0
99213Established patient office or other outpatient visit, 20-29 minutes851591$0
99214Established patient office or other outpatient visit, 30-39 minutes648468$0
95992Repositioning exercises of head for treatment of dizziness, each day397234$0
99203New patient office or other outpatient visit, 30-44 minutes274274$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 0042292849View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Physician AssistantWI
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

Is JARED L BRUNK (PA-C) listed with a National Provider Identifier?
Yes — JARED L BRUNK (PA-C) has NPI 1104890839 on file in the registry.
Is there an active status for JARED L BRUNK (PA-C)?
For scheduling context, JARED L BRUNK (PA-C) is shown as active in the registry.
What clinical focus is listed for JARED L BRUNK (PA-C)?
At a glance, JARED L BRUNK (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is JARED L BRUNK (PA-C) registered?
Use Jupiter, Florida as the headline location for JARED L BRUNK (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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