EMILY ROSE PRUNICK (FNP-C) – Family Nurse Practitioner, NPI 1225890601

EMILY ROSE PRUNICK (FNP-C) is a healthcare provider. based in Munising, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704330642 (MI). The NPI Number for EMILY ROSE PRUNICK (FNP-C) is 1225890601

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY ROSE PRUNICK (FNP-C)
NPI
1225890601
Phone
(906) 387-4220
Address
1504 SANDPOINT RD
Enumeration Date
30 January 2024
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
NORTH CAROLINA MEDICAL SCHOOL
Secondary Phone
9063874220
Graduation Year
2023 (3 years ago)
PAC ID
7214374586
Group Practice PAC ID
6204837057
Professional Enrollment ID
I20240321003331
Address ID
MI498621406MU1504XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for EMILY ROSE PRUNICK (FNP-C)

  • 1504 SANDPOINT RD

    MUNISING, MI 498621406

    Phone: (906) 387-4220

    Fax: (906) 387-5449

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

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: 2024-03-21

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
I20240321003331INurse PractitionerMITBD

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 49862)

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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: 6204837057View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is EMILY ROSE PRUNICK (FNP-C)'s NPI number?
EMILY ROSE PRUNICK (FNP-C)'s NPI is 1225890601 — the number used across U.S. healthcare to identify this provider.
Is there an active status for EMILY ROSE PRUNICK (FNP-C)?
For scheduling context, EMILY ROSE PRUNICK (FNP-C) is shown as active in the registry.
What clinical focus is listed for EMILY ROSE PRUNICK (FNP-C)?
At a glance, EMILY ROSE PRUNICK (FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is EMILY ROSE PRUNICK (FNP-C) associated with Munising?
Public fields place EMILY ROSE PRUNICK (FNP-C) around Munising, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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