NATHAN DEBRUINE (MD) – Emergency Medicine Physician, NPI 1235870882

NATHAN DEBRUINE (MD) is a healthcare provider. based in Ludington, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4351049609 (MI). The NPI Number for NATHAN DEBRUINE (MD) is 1235870882

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN DEBRUINE (MD)
NPI
1235870882
Phone
(231) 843-2591
Address
1 Atkinson Dr
Enumeration Date
6 April 2022
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8002486777
Graduation Year
2022 (4 years ago)
PAC ID
6800274218
Group Practice PAC ID
3173892627
Professional Enrollment ID
I20240807002845
Address ID
MI497702212PE416XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for NATHAN DEBRUINE (MD)

  • 1 Atkinson Dr

    Ludington, MI 494311906

    Phone: (231) 843-2591

    Type: Location

  • 100 MICHIGAN ST NE

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-3674

    Type: Mailing

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone: (616) 975-1845

    Type: Mailing

  • 615 S BOWER ST

    GREENVILLE, MI 488382614

    Phone: (866) 542-7910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-07

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
I20240807002845IEmergency MedicineMITBD

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 49431)

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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: 3173892627View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicinePA
-MI
-MI
-MI

Reviews

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Frequently asked questions

Can I cross-check NATHAN DEBRUINE (MD) using NPI 1235870882?
NPI 1235870882 belongs to NATHAN DEBRUINE (MD); compare other details if you need extra assurance.
Is NATHAN DEBRUINE (MD) shown as active in public data?
Registry records indicate NATHAN DEBRUINE (MD) maintains an active NPI.
What expertise is attributed to NATHAN DEBRUINE (MD)?
NATHAN DEBRUINE (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NATHAN DEBRUINE (MD)?
Travel planning: use Ludington, Michigan as the reference point for NATHAN DEBRUINE (MD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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